[51] Diagnosis [edit] According to one review: "At present, no 'gold standard' test exists for the diagnosis of vitamin B 12 deficiency and as a consequence the diagnosis requires consideration of both the clinical state of the patient and the results of investigations." [52] The vitamin deficiency is typically suspected when a routine complete blood count shows anemia with an elevated mean corpuscular volume (MCV)
Theoretical or under-studied Liver enzyme changes community use guides recommend a baseline ALT/AST check and a recheck during long cycles
There are some nerves running through the shoulder and there is always a slight chance a needle may hit a nerve if the injection location is incorrect
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Maintenance Phase: After the first month-and-a-half, transition to weekly or biweekly injections to sustain that energy, help you power through workouts, and keep your metabolism revved
Vitamin B12 plays a role in DNA synthesis and red blood cell formation
