B12 Injections Fatigue and low energy can have a significant impact on your daily life
22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity
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Since tablets wont work in PA, the anemia will only get worse, and the patient may end up blaming the symptoms on the B12 itself, rather than on the accelerating, untreated anemia
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