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A conscious approach to nutrient intake is the best protection against over- or under-dosing

The Risk-Benefit Equation Potential benefits: Faster healing (unproven in humans) Known risks: Immune reactions Impurities and contamination Unknown side effects Legal consequences (athletes) Cancer promotion (theoretical) Wasting money on snake oil Verdict: Risk outweighs unproven benefit

A simple blood panel will confirm your vitamin B12 levels and then your provider can develop a plan of action from there

They may arrange blood tests to evaluate: Inflammatory markers (ESR, CRP) to detect active inflammation Rheumatoid factor and anti-CCP antibodies if inflammatory arthritis is suspected Full blood count to assess haematological response to B12 treatment Thyroid function tests , as thyroid disorders commonly coexist with B12 deficiency Note that serum B12 levels are not typically measured to assess treatment adequacy once replacement therapy has begun, as they may not reliably reflect tissue stores

GP texted daughter to say script for B12 supplements at pharmacy from specialist, with no discussion or advice but the meds were for 50 mcg, nowhere near enough to bring her levels up which have dropped to 189