b12 monthly injections plus daily supplement Almebex 16 fl. oz by Newpharma INC Vitamin B12
Description
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Where clinical suspicion remains high despite a normal serum B12, additional markers may be requested, including: Holotranscobalamin (active B12) a more specific marker of B12 status, available in some UK laboratories as an alternative or confirmatory test [11] [12] Methylmalonic acid (MMA) elevated in functional B12 deficiency

This regimen should be followed by 1000 mcg monthly for life

and dont report Z79.4 or the temporary use of insulin
