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Women taking long-term medications such as metformin (for diabetes or polycystic ovary syndrome) or proton pump inhibitors (for acid reflux) may also have reduced B12 absorption

A low reticulocyte count can be a sign of B12 deficiency because the bone marrow cannot make red blood cells without B12

Their usefulness is sometimes even seen mainly (only) in gathering actors together around a table (Gallez and Maksim, 2007)

Intermediate users commonly use 300-400 mcg daily, while advanced protocols may utilize 500 mcg daily or divided doses of 250 mcg twice per day

Supplies Needed Plan based on an 816 week daily protocol with gradual titration as outlined above