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We might change the dose if: Patients dont get better or keep having symptoms of deficiency They keep having trouble absorbing nutrients Their health changes or they get new health problems By watching both lab results and how patients feel, we can make Vitamin B12 shots work best for them

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Many times, patients will come to us and say I just dont want to have surgery and thats a very valid choice to make, but your feelings about whether you want to have surgery or not are not the only factors that should be considered when deciding whether or not to have surgery