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Primary Care Guidelines for B12 and Folate Testing Indications for B12 and Folate Testing No need to check B12 levels in patient on parenteral B12 treatment (they will always be high) There is no indication to check GPA or INF purely because of family history of autoimmune disease or hypothyroidism Care should be taken when prescribing folic acid alone If folic acid is given to a patient who is actually b12 deficient, this may precipitate irreversible neurological complications References 1

For example, drinking alcohol in excess makes your liver work harder and less efficiently, which can undermind the amino acids present in this injection and make it more difficult for you to see any benefits from treatment

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Anyway, hydroxocobalamin works great for me, so if you or your brother need to take injections again, do try that instead

Inject both sides equally while adding 1-2 extra sets to the smaller side during training

While you certainly can boost the amount of B12 in the foods that you eat by changing up your diet, if your issue is with absorption of the vitamin then the problem will remain