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If appetite suppression isn't occurring, discuss potential tolerance issues or whether a dose adjustment might help
For suspected macro-B12, precipitation with PEG is the test most often reached for, though it is nonspecific and can remove B12 that is fully available to cells, so direct measurement of the binding proteins, haptocorrin and transcobalamin, may be more informative when it is available
Sometimes, thirst can be mistaken for hunger
KARAPET MIRKYAN FNP-C, PMHNP, APRN, CCRN.
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