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Anyone experiencing symptoms of deficiency should consult their GP for blood tests and appropriate treatment

Methylcobalamin B12 is also indicated in those with pernicious anemia, diabetes, neuropathy, heart disease, circadian rhythm sleep disorders, memory loss, depression, fatigue, AIDS, inflammatory bowel disease (IBD), Lyme disease, osteoporosis, tendonitis, psychiatric disorders, Alzheimers disease, liver and kidney disease, and asthma

However, if reclassification does occur, it may create both opportunity and operational strain across clinical programs, pharmacy networks, compliance infrastructure, and financial models

Guidelines for the diagnosis and treatment of cobalamin and folate disorders British Society for Haematology

However, the guide will have emergency communication at all times