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If the GP says that she doesn't have macrocytic anaemia so doesn't need this pattern of treatment, you could point out that NICE guidelines for B12 deficiency say that "Note: clinical features of vitamin B12 deficiency can occur without anaemia and without low serum levels of vitamin B12." cks.nice.org.uk/topics/anae

For both compounds, avoid repeated freeze-thaw cycles and minimize exposure to ambient air during sampling

Progressive ID can be measured by a variety of biomarkers, as discussed below

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On the other hand, taking a B12 shot after drinking can help replenish the vitamin levels depleted by alcohol consumption