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Flowchart from BSH Cobalamin and Folate Guidelines stichtingb12tekort.nl/weten

Stopping B12 treatment is as dangerous, albeit more slowly, as stopping anticoagulation in patients with AF

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Adults taking any concurrent medication that affects glucose or lipid metabolism (metformin, statins, GLP-1 receptor agonists) need tighter coordination with their prescribing clinician to attribute any lab changes correctly

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