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This is because a standard serum test measures the total amount of B12 in your blood, not the amount that is actively available for your cells to use

Worked example: A 5 mg vial plus 2 mL liquid creates a 2.5 mg/mL concentration

Jane Smith, International Journal of Compounded Medicines Dosing Considerations for Compounded Preparations When giving Tiaminal B12 injection, the dose must be right for each patient

B12 has also been proven to reduce the risk of acute lymphoblastic leukemia in children when pregnant mothers supplement during the last six months of pregnancy (19)

Your needs: Do you need a supplement that contains all eight B vitamins