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Before first puncture: sealed vial storage Unopened bacteriostatic water vials are the more forgiving storage scenario

If your body isnt absorbing enough vitamin B12 from your diet or a multivitamin, you may experience symptoms such as: Fatigue Muscle weakness Constipation Loss of appetite Irritability or depression Memory problems Insufficient B12 can also cause numbness or tingling in your hands and feet, as well as balance problems

Haematological Isolated red cell macrocytoisis Macrocytic anaemia (especially if MCV more than 110fl) Pancytopenia (especially if MCV more than 120fl) Neurological or Psychiatric Optic neuropathy Peripheral neuropathy (sensory or motor) Symmetrical neuropathy affecting the legs more than the arms

For metabolic or whole-body recovery concerns, a physician may also review blood sugar markers, inflammatory markers when appropriate, thyroid status, nutrient status, hormone balance, sleep apnea risk, liver markers, kidney function, and body composition