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But, I had not expected such a strong reaction and was caught completely off-guard

Finally, if the serum cobalamin concentration at the time of reevaluation is subnormal, further work-up is required to definitively diagnose the underlying disease process and cobalamin supplementation should be continued weekly or bi-weekly (for parenteral supplementation) or daily (for oral supplementation)

To help the bruise disappear more quickly, you can compress it using an ice pack
Case example : A patient receives office visits for management of urinary tract infections, kidney stones, erectile dysfunction and prostate issues

If you switch the form and the symptoms go away, that tells you the issue wasn't the B12 itself or the level it was the specific form your body had trouble with