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If a deficiency is found, he will develop a customized B12 injection plan tailored to your individual needs and lifestyle

We also request patients stop all blood thinning over-the-counter medications and supplements 2-3 weeks prior to Sculptra injections, including vitamin E, fish oil, aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), and ginkgo biloba

Another potential contributor to B12 deficiency is low levels of stomach acid

This gives it different absorption properties and oral bioavailability , making it more accessible for non-injectable protocols

Forcing the next dose increase while still symptomatic nearly always makes things worse and can lead to protocol abandonment, which defeats the entire purpose of careful titration

When the anemia is severe and the red blood cell count is extremely low, blood transfusions may be necessary for the first couple of days until the vitamin B 12 injections begin working