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B12 is stored quite well by the liver, so sometimes we dont see low levels on bloodwork even in someone who might be experiencing low intracellular levels of B12

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Total Cost: Emergency room visit: $2,400 Surgical drainage procedure: $3,800 Hospital stay (2 nights): $8,600 IV antibiotics and follow-up: $1,200 Lost wages (1 week): $2,000 Total: $18,000+ for trying to save $300 on legitimate therapy Outcome: The patient fully recovered but was out of training for six weeks and developed antibiotic-resistant bacteria requiring extended treatment