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The initial laboratory assessment of a patient with suspected vitamin B 12 deficiency should include a complete blood count and a serum vitamin B 12 level

If your levels are already normal, you may feel little change

They work best when combined with a healthy diet and regular exercise, and should be positioned as complements to lifestyle change rather than replacements for it

if neurological involvement is present, maintenance is every two months Oral therapy is generally not appropriate where absorption is impaired (e.g., pernicious anaemia), as adequate levels cannot be reliably achieved Because B12 is water-soluble and any excess beyond hepatic storage capacity is excreted in the urine, it has a low toxicity profile

The body responds with localized inflammation

Scientists are learning how existing ones work to regulate our sleep-wake cycles