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I asked if we could get started immediately and fortunately he had time to get the ball rolling
Methylcobalamin should not be used in patients with early hereditary optic nerve atrophy (Lebers disease)
Heres what we recommend for elderly patients: Start with 1000 mcg of vitamin B12 weekly for 4-6 weeks Then, give 1000 mcg every 1-3 months, depending on how theyre doing Keep an eye on their vitamin B12 levels, blood counts, and brain function A study in the Journal of Gerontology stressed the need for B12 in older adults
Fortunately, you cannot overdose on vitamin B12, as it is water-soluble, so adding more is not harmful
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