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Understanding IV B12 therapy helps doctors choose the best treatment for their patients

Primary Care Guidelines for B12 and Folate Testing Indications for B12 and Folate Testing No need to check B12 levels in patient on parenteral B12 treatment (they will always be high) There is no indication to check GPA or INF purely because of family history of autoimmune disease or hypothyroidism Care should be taken when prescribing folic acid alone If folic acid is given to a patient who is actually b12 deficient, this may precipitate irreversible neurological complications References 1

B12 plays a key role in maintaining energy levels and boosting metabolism by helping convert carbohydrates into glucosethe bodys primary energy source

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Those with Leber's disease (hereditary optic neuropathy) should avoid cyanocobalamin formulations

Vitamin B12 deficiency can also result from poor nutrition, cancer, HIV, during pregnancy, old age, due to alcoholism