Because the symptoms are so varied, B12 deficiency is often misdiagnosed, making accurate testing the only way to get a clear answer
Additional tests may include full blood count (to check for macrocytic anaemia), methylmalonic acid and homocysteine levels (which rise in B12 deficiency), and tests for intrinsic factor antibodies if pernicious anaemia is suspected
Coverage extends to every province and to Yukon, Northwest Territories, and Nunavut via tracked Xpresspost service
It was also categorized as a substance with significant safety concerns and is not currently approved for routine compounding under 503A
It is important to note that B12 supplementation will not eliminate all side effects of semaglutide
For patients who have been living with chronic injury pain, this reduction feels transformative