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We recommend storing serum for further analysis including MMA, or holotranscobalamin and intrinsic factor antibody analysis, and treating the patient immediately with parenteral B12 treatment

As a rule of thumb, many healthcare providers recommend scheduling B12 injections every few weeks to maintain optimal levels and ensure lasting results

Gastrointestinal conditions such as pernicious anemia (autoimmune destruction of gastric parietal cells), Crohn's disease, celiac disease, and prior gastric or ileal surgery significantly impair absorption

It may be due to a superior regenerative potential (repair) and/or certain resilience to mechanical influences

Key considerations include: Reconstitution with appropriate diluent, typically bacteriostatic water