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In view of a clear Vit B12 deficiency and/or HHcy and/or high MMA levels in a PwPD presetting with clinical signs of PN, a complete neurographic assessment and an extensive alternative-causes workup should be performed

[DOI] [PMC free article] [PubMed] [Google Scholar] 20.Tastekin D., Erturk K., Bozbey H.U., Olmuscelik O., Kiziltan H., Tuna S., Tas F

2011;152(3):S215

In rare instances, taking large amounts of vitamin B12 orally or by injection can cause anaphylaxis, a severe allergic reaction

Where a clinical or brachytherapy APC has fewer than 100 single claims that can be used for ratesetting, under our low volume APC payment adjustment policy, we determine the APC cost as the greatest of the geometric mean cost, arithmetic mean cost, or median cost based on up to 4 years of claims data