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It is recommended to check Hematocrit, reticulocyte count, vitamin B12, folate, and iron levels before treatment begins
B12 deficiency has become a contentious area of practice, with patients commonly reporting that they feel let down over their management 3
- B12 maintains nervous system integrity (nerve cells and normal myelination the fatty sheaths that cover and protect nerve endings)
Autonomic nerves, which control both voluntary and involuntary bodily functions such as blood pressure, may also be affected
Catching these rhythms early is key
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