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If you have any issues with your gut health, it also affects how much B12 your body absorbs

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12 weeks (2 4 8 mg titration): ~6 vials 24 weeks (up to 12 mg weekly): ~20 vials 48 weeks (maintenance at 12 mg): ~49 vials Insulin Syringes (U-100, 1 mL) Per week: 1 syringe (once-weekly dosing) 12 weeks: 12 syringes 24 weeks: 24 syringes 48 weeks: 48 syringes Bacteriostatic Water (10 mL bottles) Use 2.0 mL per vial for reconstitution

The American Diabetes Association recommends that people on Metformin have their B12 levels checked at least once a year