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Vitamin d is a vitamin which is a kind of nutritional agent (nutritional or metabolic agent)
At the current presentation he has serum B 12 (209 pmol/L), which is within the normal range (148-600 pmol/L), however MMA is elevated at 1100 nmol/L (a measurement taken in 2017 was 117 nmol/L, normal A) and vitamin B 12 in Europe and West Africa Am J Clin Nutr 2012;95:514-21
[1] For this reason, it might be advised to remain in the clinic for 10-15 minutes after the first injection to ensure you dont react
B12 shots are safe for most people, but those with certain health conditions should consult a doctor before starting treatment
However, its endocrine effects may influence the action or monitoring of certain medications