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Monitoring and follow-up Monitor clinically and repeat tests as indicated by the underlying condition Ongoing monitoring of liver function, renal function, and FBC as clinically indicated Regular review in primary care or specialist clinics for underlying conditions Patient advice: Patients should understand that elevated B12 is a marker requiring investigation rather than a condition requiring direct treatment

Otherwise studies that don't get published shouldn't be done in the first place

Parul Sahni (2021) The screening and treatment of vitamin B12 deficiency

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Every item plays a specific role in maintaining sterility and dosing accuracy