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This approach enables timely treatment whilst reducing the need for frequent healthcare appointments

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[3] [11] Diagnosis should include serum B12 levels interpreted in clinical context, full blood count, and where appropriate, intrinsic factor antibodies and parietal cell antibodies

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if her blood levels are ok she doesnt need injections now but that her long standing forgetfulness may not be reversible

After several months of consistent treatment, blood tests often show lower homocysteine