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This layered approach often leads to more efficient and sustained results

doi: 10.1016/j.cbi.2018.08.023

[DOI] [PubMed] [Google Scholar] 61.Ofengand J, Del Campo M

Comment on: 'Patients with unexplained neurological symptoms and signs should be screened for vitamin B12 deficiency regardless of haemoglobin levels'

Without systematic tracking, you are guessing about your protocol effectiveness, and guessing leads to premature dose changes, unnecessary escalation, and abandoned protocols that might have worked with more patience
