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Furthermore, health risks, family history, other medications, age, and personal health factors, are also going to dictate the results you are going to see, and how quickly you can expect to see those results

Increase your dose to 2000 mcg or change the form of B12

Here is exactly what needs to be in the chart for each code type: When to Send a Physician Query Send a formal query when: High HbA1c or diabetes medications appear on record but no formal diabetes diagnosis is documented A specialist note mentions a complication but the treating physician hasnt connected it to the diabetes The type of diabetes is ambiguous (young thin patient on insulin with no Type 2 risk factors) A drug known to cause diabetes is on the medication list but no causal connection has been drawn CKD is documented but the stage is not specified Retinopathy is documented but the eye is not specified Queries must be objective

If the level stays high with no B12 going in, that persistence is the finding worth investigating

Note that benzyl alcohol is bacteriostatic, not bactericidal: it inhibits proliferation of organisms introduced at the septum during needle entry, it does not sterilise a solution that is already contaminated, and preservative-free sterile water remains the specified vehicle in certain clinical contexts where benzyl alcohol is contraindicated

Are You at Risk of Deficiency? Many people in Essex are at a higher risk of B12 deficiency without realising it