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If you experience a gradual onset of numbness, prickling, tingling, or sharp shooting pains in your feet you may be a candidate for B12 injections

Response is monitored through clinical assessment and laboratory tests, and dosing is individualized based on the condition being treated

This depends on the dose and how much water was added: 5mg vial at 250mcg/dose = 20 doses 5mg vial at 500mcg/dose = 10 doses 10mg vial at 250mcg/dose = 40 doses 10mg vial at 500mcg/dose = 20 doses At the community-reported common protocol of 250mcg twice daily, a 5mg vial lasts 10 days

Also, magnesium supplements could reduce the dose of valproate to prevent migraine attacks (193)