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Because Crohns causes inflammation of the intestinal tract, it not only interferes with B12 absorption but can cause more severe symptoms like arthritis, skin problems, fevers, rectal bleeding, and abdominal pain

5 mg vial = 5,000 mcg total 2 mL water = 2,500 mcg per mL 2,500 mcg target = 1.0 mL draw TB-500 10 mg vial with 3 mL example A 10 mg TB-500 vial mixed with 3 mL gives about 3,333 mcg/mL, or 3.33 mg/mL

Over time, high blood sugar levels can cause damage to the nervous system, while medications prescribed to maintain blood sugar levels can also lead to B12 deficiency

For instance, some patients report increased energy as their neurological function improvesthis is a therapeutic effect rather than a true adverse reaction