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B12 supports the production of red blood cells, which carry oxygen throughout the body

If a patient has a particularly high-risk thrombophilia (for example, antiphospholipid syndrome with prior arterial clots, or recurrent unprovoked VTE), a discussion with their physician is needed to decide if fasting is safe or if temporary prophylactic measures are warranted

Nasal spray: 200400mcg per administration, 12 times daily

2023 Jul 21;29(27):4289-4316

Lower-priced alternatives exist but may lack equivalent quality documentation

[9] [10] The most characteristic symptoms of peripheral neuropathy include numbness, tingling, or a "pins and needles" sensation, typically beginning in the toes and feet and potentially progressing upward in a "stocking-glove" distribution