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Clinical laboratories generally define vitamin B12 deficiency as a serum level below 148 pmol/L (approximately 200 pg/mL)

It serves as a coenzyme for carboxylases involved in key metabolic reactions

Follow-up care and repeat injections If you have repeat injections, tell your clinician about any prior reactions

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These are some warning signs that something may be going wrong: Tap water that is suddenly saltier than usual could be a sign that your well has been compromised by runoff Tap water that tastes moldy, musty, or dirty is a sign that your well has been impacted by an algal bloom or some disturbance and needs disinfection Tap water that tastes or smells like rotten eggs is also a sign that your well setup could use another round of disinfection When Should I Test Tap Water that Tastes Bad

Start conservatively, track progress, adjust based on results