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Your doctor may recommend earlier testing if you: Develop neurological symptoms Experience unexplained fatigue Have anemia Take high-dose metformin Have digestive disorders affecting absorption Have previously been diagnosed with vitamin B12 deficiency Rather than following a fixed calendar, clinicians usually individualize monitoring based on the patients overall health

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You will also need alcohol swabs for disinfection, bacteriostatic water for reconstitution (if using lyophilized powder), a sterile mixing syringe if reconstituting, and a sharps container for safe needle disposal