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Overall, vitamin B12 deficiency is treatable and can lead to serious neurological sequelae if left untreated, so it is important to consider vitamin B12 deficiency as a potential cause in patients with unexplained epilepsy, especially when accompanied by macrocytic anemia [85]

Hospitals may use bacteriostatic water for medications that require dilution and may be accessed multiple times, but its use is less common for large-volume/adult infusions because of the benzyl alcohol content

The sample is then sent to a laboratory for analysis to determine the amount of vitamin B12 in your blood

It is important to get enough vitamin B12 during pregnancy and when nursing, as a B12 deficiency Learn more: What is vitamin B12 deficiency

Individuals with risk factors for B12 deficiency including strict vegans, those with gastrointestinal conditions, patients taking long-term metformin or proton pump inhibitors, and older adultsshould discuss screening with their GP, even in the absence of obvious symptoms

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