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B proactive Its a good idea to ask your doctor (or your Blueprint Health nurse) about having your B12 level checked if you: are over 50 years old take a proton-pump inhibitor (such as Nexium or Prevacid) or H2 blocker (such as Pepcid or Zantac) take metformin (a diabetes drug) are a strict vegetarian have had weight-loss surgery or have a condition that interferes with the absorption of food A serious vitamin B12 deficiency can be corrected two ways: weekly shots of vitamin B12 or daily high-dose B12 pills

Recheck blood work including MCV, hgb (if anemic), serum B12, and homocysteine

In the discontinued dose-finding trial undertaken at the Anderson Cancer Center, the investigators established a starting dose of 0.03mg/kg of body weight, injected subcutaneously once daily for 28 days

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