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Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months
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Liver steatosis, gut-liver axis, microbiome and environmental factors
Benefits of B12 for men : energy, improved sleep, nervous system support, enhanced mood, better skin and hair, cardiovascular support and brain health benefits
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