Hematocrit and reticulocyte counts should be repeated daily from the fifth to seventh days of therapy, and then frequently until the hematocrit is normal
Typically, 500 IU or less is recommended for maintenance of testicular function and 500 IU or above is prescribed for fertility support
While injectable B12 is generally considered more effective, oral supplements are an acceptable alternative depending on the needs of the patient
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Symptom logs and advanced markers like MMA can guide this switch more effectively than B12 blood levels alone
Always verify the pharmacy and provider