Additional testing if symptomatic: Iron studies if fatigued, magnesium if experiencing cramps, and amylase/lipase if experiencing persistent abdominal pain (to rule out pancreatitis, a rare but serious side effect)
Important Store unused equipment and medicine in a safe place, away from children and pets
Water-soluble vitamins dissolve in water and exit the body via the urine
If there is clinical improvement and if a reticulocyte response is observed, the same amount may be given on alternate days for seven doses, then every 3 to 4 days for another 2 to 3 weeks
Do I still need oral supplements if I get injections
After reviewing literature and conducting a two-round Delphi survey with 42 experts, a consensus emerged that emphasizes prioritizing clinical symptoms in diagnosis, with serum B12 as a screening marker supported by methylmalonic acid or homocysteine levels for additional confirmation