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For this combination, track the following metrics weekly

Its going good so far

Even in people without overt deficiency, B12 injections can correct subclinical insufficiency more rapidly than oral supplementation

A seminal cost analysis published in Canadian Family Physician (2001) projected that switching patients from intramuscular B12 injections to oral supplements could save between $2.9 million and $17.6 million depending on the population studied with one Ontario analysis estimating $14.5 million in savings for 110,000 elderly patients

This will keep the pressure equal within the vial

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