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For hematocrit and reticulocyte counts, recommendations are to repeat these tests daily from the 5th to 7th days of treatment and then frequently until the hematocrit returns to a normal range (11, 14, 15)

Expected Timeline for Results Understanding realistic timelines helps set appropriate expectations and prevents premature discontinuation of what could be an effective treatment

Traditionally, farmed animals would have got their B12 from water and eating food from the ground but with so many now confined in factory farms, animals themselves are given B12 supplements

Standard laboratory tools, accurate micro-pipettes, and sterile bacteriostatic water are sufficient for correct reconstitution and measurement

Many people are experiencing not just one of these scenarios that lead to vitamin deficiency but many of them

The takeaway is not to stop the medication it is to be intentional about timing (6 a.m