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This is because B12 in this form has low bioavailability with absorption typically around ~1-2%

Vitamin B12 Injections Vitamin B12 Injections These injections are prescribed by your doctor and can correct a deficiency of this important nutrient

Anaemia A lack of vitamin B12 means your body cant make enough red blood cells, or each blood cell doesnt have enough haemoglobin this is called anaemia

Again, do the lab tests first to make sure you actually need them

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Kernicterus documentation: Coding Clinic has emphasized that P57.x (kernicterus) should only be assigned when explicitly documented by the treating provider