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Thank you all for your kind words I finally got to speak with a locum GP today, the GP that ordered the blood tests, didn't order a B12 serum after saying he would, so I'll not know if the vials were deteriorating

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Typically, B12 injections may range from $20 to $50 per injection

If you calculated 2 mL for a 5 mg vial, draw exactly to the 2 mL mark (or use multiple draws with a 1 mL syringe)

Second , we can do further tests: Antibodies against intrinsic factor (IFAB): these are specific for PA and make the diagnosis