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[DOI] [PMC free article] [PubMed] [Google Scholar] 6.Diagnostic clues to megaloblastic anaemia without macrocytosis

It is also not advisable not to use Vitamin B12 injection if there are allergies to cobalt or if a person has Lebers disease

Fortified foods , such as cereals or plant-based milk, often provide B12, but not always enough for long-term health

cancer treatment or remission within the past five years requires explicit clearance and ongoing supervision from the clinician managing that history

Certain antibiotics, medications used to manage diabetes, and various prescription formulations may contain alcohol-based ingredients or produce metabolites that complicate screening interpretations