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Infection signs include increasing redness, warmth, tenderness that worsens over days, swelling that restricts movement, or pus or fluid discharge
Routine rechecking of serum B12 levels is not generally recommended for patients on regular injections as levels will be artificially high
doi: 10.1016/S0006-291X(02)00881-1
Age-related Atrophy of the Stomach Lining : As people age, the stomach lining may atrophy, leading to reduced production of hydrochloric acid and intrinsic factors, which are necessary for the absorption of vitamin B12
One study, administering 500mg twice daily for four weeks to 40 healthy adults, showed no significant change in serum glutathione levels