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Kangwana BB, Njogu J, Wasunna B, Kedenge SV, Memusi DN, et al

Low B12 can happen for different reasons

Sometimes you need positive momentum to start and motivate you to keep trying

For suspected macro-B12, precipitation with PEG is the test most often reached for, though it is nonspecific and can remove B12 that is fully available to cells, so direct measurement of the binding proteins, haptocorrin and transcobalamin, may be more informative when it is available