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What blood-count patterns should prompt hematology review in a patient with persistent elevated B12

Persistent reactions may also prompt evaluation for underlying conditions affecting wound healing or immune function

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US survey data from the NHANES What We Eat in America 2013e16 cohort reported the median vitamin B12 consumption for all adult men of 5.1 mcg and women of 3.5 mcg.95b Using the Estimated Average Requirement (EAR) for adults for Vitamin B12 of 2 mcg,93 less than 3% of men and 8% of women in the United States had inadequate diets using this comparator

Lets first start with B12, in and of itself