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New England Journal of Medicine
Recommended investigations include: Full blood count with blood film examination Serum vitamin B12 level Serum folate (to exclude combined deficiency) Intrinsic factor antibodies Thyroid function tests (autoimmune association) Consider MMA and homocysteine if diagnosis uncertain and available Neurological examination should be performed in all patients, assessing for peripheral neuropathy, proprioception loss, and signs of subacute combined degeneration of the spinal cord
Regular follow-up consultations are recommended to monitor progress and make any necessary adjustments
This product is not a substitute for a proper diet
E63.8 - Other specified nutritional deficiencies: Sometimes, Vitamin B12 deficiency is part of a more complex nutritional deficiency, and this code is used in such cases
When glutathione levels are low, oxidative stress and inflammation can build up and contribute to early signs of aging
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