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Your doctor will typically monitor your response and perhaps repeat blood tests for vitamin levels (or relevant markers like homocysteine levels, complete blood count, etc.) after a certain number of injections

Apr 1 2022;119(13):219-225

When you eventually speak to a professional, saying "I feel tired" is less helpful than saying "My energy drops significantly every afternoon at 3pm, and my morning temperature is consistently below 36.5C." Phase 3: Targeted Blood Testing If you have ruled out other causes and your symptoms persist, this is where a private Blue Horizon test can be useful

Psychiatry 10 , 9 (2020)