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This may continue for several weeks or even months, as neurological recovery is often slower and more variable than haematological response
A patient with unexplained fatigue should be worked up, not injected masking a B12 deficiency of unclear cause, or an unexamined thyroid problem, with a monthly shot is a real clinical risk
Retrieved 16 May 2020
Community resources commonly document 2mL into a 5mg vial as the sweet spot
Additional tests may include full blood count (looking for macrocytic anaemia), methylmalonic acid, and homocysteine levels