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Still, vitamin B12 injections remain the most reliable and efficient method for addressing moderate to severe deficiency
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B12 injections are indicated for patients with documented deficiency, including those with pernicious anaemia, malabsorption disorders, following gastric surgery, or with neurological symptoms suggesting B12 deficiency
Laboratory factors such as macro-B12 (immunoglobulin-bound B12) can cause spurious elevation on some assays
This includes nitrous oxide, proton-pump inhibitors, and metformin
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