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This degradation happens slowly at first but accelerates if the medication is exposed to temperature fluctuations or improper storage conditions

These include: Complete Blood Count (CBC) to check for better anemia Serum Vitamin B12 levels to make sure the dose is right Methylmalonic acid (MMA) and homocysteine levels to see how the body is reacting Reticulocyte count to see how the bone marrow is doing Clinical Improvement Markers We also watch for signs of improvement in how patients feel

Vitamin B12 Warnings Patients who have early Leber's disease (LHON) a hereditary disease that causes optic nerve atrophy have been found to suffer severe and swift optic atrophy when treated with vitamin B12

Beyond Energy Boosts: While B12 can certainly boost energy if youre deficient, its not a general energy tonic