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If folate deficiency is suspected, it is reasonable to give oral folic acid (0.4 1 mg/day) without doing laboratory investigation for deficiency at least until the hemoglobin and mean corpuscular volume normalizes (or longer if the underlying cause cannot be eliminated)

This is because heat, moisture, and light can all contribute to the degradation of the vitamin and reduce its effectiveness

Body measurements including waist, hips, thighs, and arms at consistent points provide direct feedback on composition changes

Missed doses interrupt the steady buildup that pills depend on, and some high-dose tablets are large and hard to swallow

These include: Individuals with pernicious anemia , a condition that causes their bodies to be unable to adequately absorb vitamin B12

1- Ice the injection site Before injecting with vitamin B12, apply ice to your thigh, hip, or groin- wherever you plan on inserting the needle