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The body only requires a small amount of the vitamin daily so a deficiency may take months or even years to develop
These include: Complete Blood Count (CBC) to check for better anemia Serum Vitamin B12 levels to make sure the dose is right Methylmalonic acid (MMA) and homocysteine levels to see how the body is reacting Reticulocyte count to see how the bone marrow is doing Clinical Improvement Markers We also watch for signs of improvement in how patients feel
It earns a strong recommendation
This isn't universal, but awareness helps manage expectations
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