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If I understand rightly you haven't an absorption problem.So once on supplements or a richer B12 diet you can store and utilise b12 from your liver

According to NICE Clinical Knowledge Summaries, once B12 deficiency is adequately treated and symptoms resolve, routine monitoring of serum B12 levels is generally unnecessary, as clinical response is the primary indicator of treatment effectiveness

Characterized by the deposition of insoluble calcium salts in skin and subcutaneous tissue, calcinosis may cause pain, ulceration, and secondary infection, significantly impairing quality of life

CMS requires all routine flu vaccination claims to be filed with Z23 as the diagnosis code