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Starting low and titrating up remains the safest approach
The documented per-dose amounts (150 mcg from the 10 mg vial
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
Grill D, Tausz T, De Kok LJ (2001)
If you are pregnant, take any medications or supplements, or have a chronic illness you should let your technician know before receiving treatment, just to be safe
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