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In UK practice, monitoring is primarily based on clinical response rather than routine blood tests, as post-treatment serum B12 measurements can be misleadingly high and may not reflect tissue levels

Track your protein for the first 4 to 6 weeks until it becomes habitual

A common polymorphism in HIBCH influences methylmalonic acid concentrations in blood independently of cobalaminAm J Hum Genet2016;98:869-82

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oral vitamin B12 replacement When offering oral vitamin B 12 replacement to people with vitamin B 12 deficiency caused, or suspected to be caused, by malabsorption, prescribe a dosage of at least 1 mg a day