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Standard ranges fail to identify patients with subclinical vitamin B12 deficiency (which means many patients may not have full-blown symptoms of vitamin B12 deficiency but they do experience some) 3

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As an essential nutrient, vitamin B12 plays a vital role in energy production, red blood cell formation, and the healthy functioning of your nervous system
Patients experiencing persistent gastrointestinal adverse effects may benefit from slower titration schedules or maintaining lower doses for longer periods before attempting escalation

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