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Based on the saturable metabolism of phenytoin, this may cause phenytoin levels to gradually drift upwards over time (discussed in the section above)

Injection site reactions : The most common side effects are mild and short-lived, including soreness, redness, or slight swelling at the injection site

This means that although most people meet their B12 needs, a significant minority may not have optimal levels, particularly in higher-risk groups

A high carbohydrate diet with elevated sulfur levels is often a contributing factor

You will require repeat injections every three months to maintain your levels