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Once exposed to room temperature for extended periods, the vial should not be returned to refrigerated storage and used beyond the 21-day window

They are effective in combatting fatigue, anemia, mood swings, and "brain fog

You might have to take a B12 supplement or try a new medication

In Patient Education - Vitamins

These include: Complete Blood Count (CBC) to check for better anemia Serum Vitamin B12 levels to make sure the dose is right Methylmalonic acid (MMA) and homocysteine levels to see how the body is reacting Reticulocyte count to see how the bone marrow is doing Clinical Improvement Markers We also watch for signs of improvement in how patients feel