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How should patients be monitored during B12 injection therapy

This impairment of DNA synthesis affects the rapidly dividing cells of the bone marrow earlier than other cells, resulting in the production of large, immature, hemoglobin-poor red blood cells (macrocytosis), as well as effects on white blood cells, including abnormal (hypersegmented) neutrophils and reduced overall cell counts (pancytopenia)

Interestingly, I've just had a positive antinuclear antibodies (ANA) blood test result, so it looks like something autoimmune may be going on

Frequently Asked Questions Individuals might sometimes need a Vitamin B12 injection when faced with this nutrient deficiency

Vitamin B12 is found in meat, fish, eggs, and various dairy products