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Folate levels should be checked concurrently, as folate deficiency can also cause macrocytic anaemia and may coexist with B12 deficiency

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How many vials you need for a full protocol Let us do the math for a complete 24-week titration protocol: Weeks 1-4 (2 mg/week): 8 mg total = 0.8 vials Weeks 5-8 (4 mg/week): 16 mg total = 1.6 vials Weeks 9-12 (8 mg/week): 32 mg total = 3.2 vials Weeks 13-24 (10 mg/week): 120 mg total = 12 vials Total for 24 weeks: approximately 17.6 vials (round to 18)