where do you give a b12 injection Treating Severe Vitamin Deficiency How to self-inject intramuscular vitamin

[51] Diagnosis [edit] According to one review: "At present, no 'gold standard' test exists for the diagnosis of vitamin B 12 deficiency and as a consequence the diagnosis requires consideration of both the clinical state of the patient and the results of investigations." [52] The vitamin deficiency is typically suspected when a routine complete blood count shows anemia with an elevated mean corpuscular volume (MCV)

If they make an exception for one patient, they may feel pressured to do so for others, leading to a system where ad-hoc changes become the norm

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38 Thiopurines can take up to three months to take effect, and a weaning course of corticosteroids can be used concurrently to achieve remission

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