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A medical screening is required

Vegetarian capsule (carbohydrate gum [cellulose], purified water), silica, microcrystalline cellulose, vegetable grade magnesium stearate (lubricant)

However, if you do drink alcohol and you are drinking more than 21 units per week, it is possible that the raised MCV could be a sign of excess intake

For instance, someone with Crohns disease might need: Higher initial doses to overcome malabsorption More frequent injections during the maintenance phase Regular checks on B12 levels to adjust dosages as needed Dosage Modifications for Elderly Patients Elderly patients have special needs when it comes to vitamin B12 injection dosages

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The dose isnt just a quantity in a vial