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That is why we have extended our working hours so that all patients are well taken care of without rushing

Diagnosis involves serum B12 measurement, full blood count, and investigation for underlying causes including intrinsic factor antibodies for pernicious anaemia

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The Recommended Dietary Allowance (RDA) for vitamin B12 varies by age and condition: Adults: 2.4 mcg/day Pregnant women: 2.6 mcg/day Breastfeeding women: 2.8 mcg/day However, injection dosages are significantly higher and vary depending on the individuals condition

When stratified by administration route, the average percentage reductions were: Intramuscular (IM): 48.3% Sublingual: 30.7% Oral: 30.3% These results suggest that IM administration leads the most pronounced homocysteine reduction, however, sublingual and oral routes also demonstrate clinically relevant effects