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In practice that means three things
Recommended investigations include: Full blood count with blood film examination Serum vitamin B12 level Serum folate (to exclude combined deficiency) Intrinsic factor antibodies Thyroid function tests (autoimmune association) Consider MMA and homocysteine if diagnosis uncertain and available Neurological examination should be performed in all patients, assessing for peripheral neuropathy, proprioception loss, and signs of subacute combined degeneration of the spinal cord
The injection process is quick, virtually painless, and can be completed in just minutes during a routine visit
injection is a shot given in large muscle groups, typically shoulder (deltoid), thigh (vastus lateralis) and/or butt (gluteus)
Vitamin B12 improves your metabolism, which in turn helps with weight control
