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Testing helps determine whether supplementation with vitamin B12, folate, or both may be appropriate

Healthcare providers must guarantee proper injection site selection and needle placement to avoid causing tissue damage or penetrating too deep into surrounding muscle tissue

Acknowledgements The authors would like to acknowledge Carlos Martn and Nacho Aguil for the critical reading of the manuscript

Tip of the iceberg It was identified that Katie had unexplained B12 deficiency in 2020

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