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Figure 1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency* and/or Non-specific** or Specific Symptom of B 12 Deficiency TOP Management Treatment In suspected B 12 deficiency, supplement both B 12 and folate

Methylcobalamin also plays a crucial role in red blood cell formation

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the mitigation column below is deliberately conservative, and the recurring theme is that technique and consistency solve more problems than dose changes