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Now, invert the vial and slowly pull the plunger back, drawing your exact amount of water

The NICE guideline recommends that doctors first use one of the primary tests for B12

Our typical clinic protocol for ketosis treatment is 3-5 days of glycol along with Vitamin B12

Cyanocobalamin | Drugs - BNF - NICE

[1] However, whilst acute toxicity is rare, elevated serum B12 levels can occasionally occur and may warrant investigation, particularly when they arise unexpectedly or in the context of certain medical conditions