Assess reconstituted solutions for clarity, color, and any precipitation
Do not use if outer seal is missing or broken
The quality and purity of those tools, however, must be constant
Vanessa Mack (Dean) and her team provide ongoing guidance and monitor patient progress to help determine whether adjustments to a B12 injection schedule may be needed
the elderly, strict vegetarians (i.e., vegan), and patients with malabsorption problems are more likely to become deficient
Another important factor is a persons age at time of intervention, as nutritional interventions should ideally start at or before the observed cognitive decline (146)