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intensive care needs to be taken with any type of sterile water used for reconstitution

This can vary depending on factors like genetics, digestion and stomach acid secretion, as well as current vitamin B12 levels

Advertisement A lean source of protein, iron and antioxidants, a 3.5-ounce serving of baby clams provides greater than 4,000% of vitamin B12s recommended daily value

Hong S, Moreno-Navarrete JM, Wei X, Kikukawa Y, Tzameli I, Prasad D, Lee Y, Asara JM, Fernandez-Real JM, Maratos-Flier E, Pissios P. Nicotinamide N-methyltransferase regulates hepatic nutrient metabolism through Sirt1 protein stabilization. Nat Med. 2015 Aug;21(8):887-94. doi: 10.1038/nm.3882. Epub 2015 Jul 13. PMID: 26168293; PMCID: PMC4529375

My understanding is that testing B12 during treatment is not normally needed