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Third, the integration of B12 testing into basic health packages and the use of electronic clinical alerts in primary care would facilitate early detection

It was also recommended that individuals classified as having subclinical deficiency be provided with empirical therapy with oral CNCbl 50 g daily for 4 weeks, and have their serum B 12 levels re-checked after 3 months (Devalia et al., Studies conducted by Palacios et al

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2026 Apr;652(8112):1298-1307

If you choose a diet which avoids animal products then you should supplement with B12 in order to access this vital nutrient