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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

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If it stays up, the elevation needs a fuller workup

The elderly and people who take a lot of heartburn medication are also at risk, according to Harvard Health Publications

A vitamin B12 injection is a direct intramuscular dose of vitamin B12 , typically administered in the arm or hip