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After reviewing literature and conducting a two-round Delphi survey with 42 experts, a consensus emerged that emphasizes prioritizing clinical symptoms in diagnosis, with serum B12 as a screening marker supported by methylmalonic acid or homocysteine levels for additional confirmation

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What you will need: A vial of lyophilized peptide A vial of bacteriostatic water An insulin syringe (typically 1 ml / 100 IU) or a precise pipette Disinfectant swabs (70% isopropyl alcohol) A refrigerator for storage Procedure: Let both vials reach room temperature