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This is especially relevant if you: follow a restrictive diet, like a vegan diet are over the age of 60 are pregnant or nursing have a medical condition that can deplete B12 levels take a B12-depleting medication, like metformin or proton pump inhibitors In addition to learning about your symptoms and giving you a physical exam, a healthcare professional can rule out a B12 deficiency by ordering various blood tests( If youre diagnosed with too low B12 levels, your healthcare professional will recommend the most appropriate treatment

Partial reconstitution strategy If you can't use an entire vial within 30 days, consider reconstituting only what you'll use