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Patients with neurological symptoms, unexplained anaemia or significant health concerns should seek GP assessment
In metformins own drug trials, about 7 in 100 patients who started with a normal B12 level dropped to a low one over roughly 29 weeks
report successful normalization of plasma B12 levels in pediatric patients with various cobalamin deficiencies using subcutaneous hydroxocobalamin (OH-Cbl)
For compounded products, PCAB accreditation is a reliable quality indicator
Neurological deterioration requires investigation
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