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It is common for patients to be initially diagnosed with other conditions, such as depression, chronic fatigue syndrome and irritable bowel syndrome before receiving their pernicious anaemia diagnosis[20]

Covid-19 prompted the British Society of Haematology to issue pandemic B12 guidance and this outlines some of the principles for moving to oral B12 preparations

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Overall, 13 out of 18 of subjects who received the adenosyl B12 had their total bilirubin normalized, 15/18 had their SGOT normalized, 10/18 had their SGPT normalized, and 18/18 (all subjects) had their alkaline phosphatase normalized

Amounts of vitamin B12 that are recommended by the Food and Nutrition Board, National Academy of Science-National Research Council for pregnant women (4 mcg daily) should be consumed during pregnancy

Store away from direct sunlight at a temperature no higher than 25 degrees celcius