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Second, if you are vegan and asymptomatic, we will recommend oral supplementation first and only inject if there is a clinical reason

I had 3 vitamin b12 injections after 6 months after the last dose I developed really bad itchy skin and prickly heat all over my body the itching is so bad that I end up scratching and making my skin bleed I have scars all over my body

Pract Diabetes 2001;28:302304 Singh AK, Kumar A, Karmakar D, Jha RK

Reduce the dose and increase slowly

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Recommended testing schedule Baseline (before starting): Complete metabolic panel, CBC, lipid panel, HbA1c (even if not diabetic), B12, folate, vitamin D, thyroid panel, and fasting insulin