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Your provider will review medical history, current medications, allergies, endocrine concerns, metabolic risks, pregnancy or breastfeeding status, and contraindications before making any recommendation

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These include: Complete Blood Count (CBC) to check for better anemia Serum Vitamin B12 levels to make sure the dose is right Methylmalonic acid (MMA) and homocysteine levels to see how the body is reacting Reticulocyte count to see how the bone marrow is doing Clinical Improvement Markers We also watch for signs of improvement in how patients feel