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For most people, the practical approach involves working with a healthcare provider to establish a baseline through blood work, then adjusting session frequency based on symptom improvement and lab results

Many patients choose B12 injections as a proactive wellness treatment

Symptoms of pernicious anemia include fatigue, weakness, and neurological changes

During the initial treatment period with methylcobalamin, pulmonary edema and congestive heart failure have reportedly occurred early in treatment with parenteral methylcobalamin

Since off-label uses are generally not covered by Medicare, Marks B12 shots were not covered, and he had to pay for them out of pocket