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A high B12 that does not fit the patient is a reason to ask whether the result reflects an assay artifact

Other: May reduce the likelihood of cardiovascular events such as heart attack or stroke, or death in adults with type 2 diabetes and known heart disease

Approximately 40-50% of people are deficient in B12, with rates reaching 50% among those with hypothyroidism

At 9mg weekly: Nausea: 38.1% Diarrhea: 34.7% Constipation: 21.8% Vomiting: approximately 15-20% At 12mg weekly: Nausea: 43.2% Diarrhea: 33.1% Constipation: 25.0% Vomiting: approximately 18-22% These numbers look concerning, but context matters

They offer a convenient option for patients who need immediate attention but do not require a visit to the emergency room