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Folic acid is not a substitute for vitamin B12 although it may improve vitamin B12 deficient megaloblastic anemia
The clinical picture is the most important factor in assessing the significance of results of blood tests assessing cobalamin (B 12 ) status because there is no gold standard test to define deficiency Neurological symptoms resulting from B 12 deficiency may take several months or even years to resolve completely Measuring serum biomarkers such as B 12 or methylmalonic acid is neither helpful nor indicated in assessing or monitoring clinical improvement, neither is titration of injection frequency based on biomarker assessment Self-administration of intramuscular B 12 injections can lead to greater patient satisfaction and better health outcomes What is vitamin B 12

Withdrawal Considerations : Studies examining discontinuation of aod 9604 peptide therapy generally show minimal withdrawal effects, suggesting low potential for dependency-related issues

[DOI] [PMC free article] [PubMed] [Google Scholar] 56.Liu J, et al
