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Laboratory testing, such as a complete blood count (CBC) and metabolic panel, is done periodically to make sure the treatment is safe and effective, and changes in symptoms, including mobility, functional improvement, and pain levels, are used to track progress

Neth J Med

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Individuals with risk factors for B12 deficiency including strict vegans, those with gastrointestinal conditions, patients taking long-term metformin or proton pump inhibitors, and older adultsshould discuss screening with their GP, even in the absence of obvious symptoms

Follow-Up Visits To ensure optimal results and monitor your response to treatment, follow-up visits may be recommended

While a two-year clinical trial using 300 mg per day did not show major changes in nerve function, shorter studies lasting 3 to 12 weeks found that higher doses, up to 600 mg daily, improved symptoms in people with diabetic neuropathy