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B proactive Its a good idea to ask your doctor (or your Blueprint Health nurse) about having your B12 level checked if you: are over 50 years old take a proton-pump inhibitor (such as Nexium or Prevacid) or H2 blocker (such as Pepcid or Zantac) take metformin (a diabetes drug) are a strict vegetarian have had weight-loss surgery or have a condition that interferes with the absorption of food A serious vitamin B12 deficiency can be corrected two ways: weekly shots of vitamin B12 or daily high-dose B12 pills

The second exception is when a bovine is apparently very sick from either a gut disorder that may have wreaked havoc on their rumen microbial communities (like what acidosis can do) or are suffering from serious cobalt/B12 deficiency

however, unlike nicotinic acid, niacinamide does not usually cause the intense flushing reaction (redness/itching) of the skin

Step 7: Discard the remaining bacteriostatic water and refrigerate the Methylcobalamin 10,000 mcg vial

Cattle, sheep and goats: 0.5ml~1ml per 10kg body weight for one single dose, not more than 10ml per injection site