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Heres a rough guide that some doctors use, though everyones situation is different: Kidney Function and B12 Dosing Considerations: Above 90 (Normal): Standard B12 doses are usually fine, check levels every 6 months 60-89 (Mild decrease): Might consider slightly lower doses, check every 4 months 30-59 (Moderate decrease): Definitely worth discussing lower doses with your doctor, check every 3 months 15-29 (Severe decrease): High doses probably arent a good idea, monthly monitoring Below 15 (Kidney failure): Avoid high doses entirely, close medical supervision Let me share a story that really opened my eyes to this

Neuroimaging studies using positron emission tomography have revealed that individuals with reduced dopamine receptor density in key brain regions show altered responses to both immediate and delayed rewards

If you agree to move forward with the treatment, youll sign a consent form

After reconstitution with bacteriostatic water, the solution must be refrigerated continuously

This data becomes invaluable during appointments with your prescribing provider