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Abrasion, which uses a synthetic diamond to exfoliate your skin and a vacuum to remove dead skin cells

Important things to keep in mind include: Serum B12 levels should be normal for most people Methylmalonic acid (MMA) and homocysteine levels can show if B12 is really working, even if levels seem fine How symptoms change is also important When and How to Adjust Dosing Regimens Doctors might need to change the dose based on test results and how the patient is doing

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Common symptoms include fatigue, brain fog, mood changes, memory issues, and neurological symptoms like tingling or numbness in hands and feet