If you are a strict vegan, for example, you are more likely to suffer deficiencies of various nutrients
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Add methylmalonic acid if B12 levels are borderline
The line between "take Miralax" and "call the doctor" is usually whether symptoms are progressive, severe, or accompanied by red flags like vomiting or inability to pass gas
Conclusion .It also provides further evidence that participation in audit can bring about change in clinical behaviour leading to improvements in standards of care Use of vitamin B12 injections among elderly patients by primary care practitioners in Ontario although therapy for vitamin B12 deficiency prevents serious morbidity clinical audits in Britain have shown that approximately half of the patients receiving regular vitamin B12 injections do not meet explicit criteria supporting its use and up to one fifth of patients receive unnecessarily frequent injections