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If the vial seems pressurized in the other direction (pushing the plunger back when you insert the needle), you may have injected too much air during reconstitution
For others, it may take several days or even a few weeks to experience the full effects, as your body gradually rebuilds its B12 stores and enhances red blood cell production
By adjusting the dose and infusion protocol, healthcare providers can improve treatment results for patients with B12 deficiency
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Thus, megaloblastic anemia should not be treated with folic acid until the underlying cause has been determined (20)
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