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For more than 40 years, our pharmacists have been helping patients better understand these challenges and providing customized therapies and consultations designed to help them reach their goals

Finally, if the serum cobalamin concentration at the time of reevaluation is subnormal [lower than normal], further work-up is required to definitively diagnose the underlying disease process and cobalamin supplementation should be continued weekly or bi-weekly

However, some patients experience side effects such as fatigue, nausea, and mild deficiencies in key nutrients due to reduced food intake