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Vitamin B12 supplements are recommended to population groups at higher risk for developing vitamin B12 deficiency: everyone (no matter what their diet) over 50 years old, people with diseases of the gastrointestinal system such as Chrohns and IBS, women on oral contraceptives and people who regularly use nitrous oxide or are alcoholics

Methylcobalamin is the most active form of Vitamin B12, which is better absorbed and utilized by the body (most Vitamin B12 injections are Cyanocobalamin-the cheapest, synthetic form of Vit B12)

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Review the result itself, the direction of change, the size of the change, associated symptoms, and the timing relative to medication initiation or dose escalation