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Volume = 1 mg / 5 mg/ml = 0.2 ml Challenge here: 0.2 ml is very difficult to measure with a standard syringe

adults older than 50 years are estimated to have a serum vitamin B 12 level less than 200 pg per mL

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It's possible for people with coeliac disease to get a negative result in usual test tTG IgA if 1) they have IgA deficiency Total IgA test is used to check if people have IgA deficiency

Vegans, older adults, and those on metformin or proton pump inhibitors may require B12 supplementation or monitoring

A 1 mg dose would be 0.1 mL (10 units)