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According to Venuka Wick, MD, an assistant clinical professor in the department of family medicine at University of Washington Medicine in Seattle, its best to only take supplements under the guidance of a healthcare provider, as too much of certain vitamins can be harmful

In maintenance treatment: one ampoule by intramuscular injection per month

This figure is used legally to determine intoxication levels and medically to understand potential impairments and risks

INTRODUCTION Vitamin B12 is essential for DNA synthesis, red blood cell formation, and neurologic function[] and is also involved in the metabolism of fat and carbohydrate.[] The clinical manifestations of vitamin B12 deficiency are the effects of depletion on multiple systems, and their severity varies greatly

The fluid retention can also increase blood pressure and stress the cardiovascular system