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The evaluation and management of macrocytosis has been recently reviewed in American Family Physician ( Unlike hematologic manifestations, the specific mechanism by which vitamin B 12 deficiency affects the neurologic system is unknown

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That said, patients with active diabetes or significant metabolic dysfunction should have any investigational peptide protocol reviewed by their endocrinologist or primary care physician alongside their supervising aesthetic medicine provider

Your doctor may suggest additional tests to confirm the condition and prescribe preventive measures to manage them

Ensuring that you have a sufficient amount of B12 in your body can help the body with this function much more reliably, allowing you to have the energy that you require for proper functioning throughout the day