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Clinical trials have found that the greatest improvement in haemoglobin A1c occurs within the first 24 weeks of treatment, after which levels stabilise

Swab the stopper of both the KLOW vial and the bacteriostatic water vial with 70% isopropyl alcohol before every needle entry and use a fresh sterile syringe for each transfer

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Lab monitoring Before starting supplementation, your provider may recommend checking vitamin B12 levels using tests such as serum B12, methylmalonic acid (MMA), or homocysteine

I was given the loading dose then prescribed 3 monthly injections which were nowhere near enogh to keep my symptoms at bay