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Patients with active infections, certain autoimmune conditions, active malignancy, or pregnancy are typically not candidates and these are screened at consultation

For patients with unusual weight (such as morbid obesity), it may be helpful to check a phenobarbital level 2 hours after the initial loading dose (to confirm an adequate level was achieved and to calculate V D )

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How Vitamin B12 Injections Work at Our San Diego Clinic Before starting treatment, providers at our San Diego clinic follow a structured process focused on medical evaluation, personalized care, and ongoing monitoring

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