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Recommended investigations include: Full blood count with blood film examination Serum vitamin B12 level Serum folate (to exclude combined deficiency) Intrinsic factor antibodies Thyroid function tests (autoimmune association) Consider MMA and homocysteine if diagnosis uncertain and available Neurological examination should be performed in all patients, assessing for peripheral neuropathy, proprioception loss, and signs of subacute combined degeneration of the spinal cord
Vitamin B12 injections can be particularly beneficial for several groups of individuals who may have difficulty obtaining adequate levels of this essential nutrient through diet alone
More energy and dropping weight
If youre low, youll likely feel sluggish or foggy
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