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Fatigue is rarely just a B12 issue

Then four weeks ago I believe I fell from my bike unconscious and fractured my skull, broke three ribs, grade 4/5 spleen damage and a puncture to my left lung, broke my right hand

[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes

Typical Dosage Range Most men with low vitamin B12 levels receive around 1,000 mcg per injection, depending on their blood levels and health goals.( 9 ) However higher doses, as much as 2,000 mcg can also be safe in some cases