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Your doctor will make the call based on your situation and how you respond to the initial treatment

If your condition allows, try to eat regular meals with protein and complex carbohydrates to support your metabolism

"Lowering homocysteine with B vitamins has no effect on biomarkers of bone turnover in older persons: a 2-y randomized controlled trial"

I know lab tests don't tell the whole story and can be misleading sometimes, but it's better than taking a wild guess

Instead, the change tends to feel like the heavy, dragging feeling slowly lifting

If your fatigue, brain fog, or tingling returns before your next scheduled shot, it is important to communicate this to your care team