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This deficiency strongly correlates with increased anxiety symptoms
Avoid Repeated freeze-thaw cycles, direct sunlight, and temperatures above 25C
All three are correctable in two minutes during a supervised session and take weeks to self-correct through trial and error
Proper use assures appropriate reimbursement and reduces claim denials
Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months
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