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Description

while loss of B12 synthesis might represent a signature of invasive pathogens for the change of the intestinal niche and a movement away to a more systemic infectious cycle 6

N Engl J Med 2005

Your clinician should test your B12 levels regularly and monitor for symptoms of this side effect

Oral is the standard

They might do blood tests showing improvement (e.g., better red blood cell indices once B/B levels normalize)

Forgetting to expel air bubbles, using a needle that is too short for your body composition, reusing the same site repeatedly, and recapping a used needle are all frequent missteps