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[51] Diagnosis [edit] According to one review: "At present, no 'gold standard' test exists for the diagnosis of vitamin B 12 deficiency and as a consequence the diagnosis requires consideration of both the clinical state of the patient and the results of investigations." [52] The vitamin deficiency is typically suspected when a routine complete blood count shows anemia with an elevated mean corpuscular volume (MCV)

No overdosage has been reported with Nascobal Nasal Spray, Nascobal (Cyanocobalamin, USP) Gel for Intranasal Administration or parenteral vitamin B12

We offer B12 injections at our Golden Valley location

Contact your prescriber about slowing escalation or temporarily reducing dose by 2550% until symptoms stabilise

However, the refusal could cause you mandatory penalties as per Californias implied consent law

Although B12 injections are never a substitute for medical help or therapy, their mood-boosting properties are hard to deny