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Your GP may arrange periodic blood tests to ensure B12 levels remain adequate, though clinical response is generally more important than specific blood values once treatment is established

Older adults can use this site if the muscle in their upper arm, their deltoid, is well developed

Front Endocrinol

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Many patients notice improved energy levels and reduced fatigue within 12 weeks of starting intramuscular B12 injections

This hypercoagulable state is sometimes called thrombophilia and is associated with severe illness and poor outcomes