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If the reason is less clear, the care team may recommend review of symptoms, outside records, or broader follow-up before turning B12 into a repeating plan

Set BAC water for a 10-unit draw

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Avoid simultaneous use with strong acids or chelators (e.g., vitamin C or retinol serums) because they can inactivate copper peptides

The standard dose is 1000 mcg, given as an intramuscular or subcutaneous injection

It does not affect gastric emptying