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I started out with a similar level (after a holiday in the south of France) but with a year plus of taking 2000iu d3 with 90mcg k2 daily it reached over 90

B12 injections often work faster than pills

Higher doses of vitamin B12 may be used to treat a clinically recognised deficiency

Concerning signs that require medical attention include: Spreading redness larger than a few inches Red streaks Severe or worsening pain Fever or chills Hives away from the site Facial or throat swelling Any breathing difficulty When symptoms worsen rather than improve, document the site with a photo and contact your clinician promptly so they can assess for infection or a true allergic response

Medications: Some medications, such as antibiotics or those containing bismuth, can cause black discoloration on the tongue

Hyderabad, India: National Institute of Nutrition Offset Press