b12 levels too high after injection Hydroxocobalamin V. Prolonged Maintenance of Vitamin Blood following a Short Course of Hydroxocobalamin Injections Pernicious Anemia: Definition, Symptoms, Causes

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VITAstir is my go to for B12 which I need for my Pernicious Anemia treatment

Summary: Feeling worse after a B12 injection typically reflects your body adjusting to replenished vitamin levels, triggering metabolic processes that may temporarily cause fatigue, headaches, or injection site discomfort

I can appreciate the reasoning for not doing a B12 assay when checking her ferritin [or whatever iron indicator] but checking B12, Folate and Ferritin at the outset is probably wisest