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Vitamin D 2nd line examination (in case of doubt or complex complaints) Active B12 (holotranscobalamin) Methylmalonic acid (MMA) - in blood or urine Homocysteine Antibodies to intrinsic factor (IF) Parietal cell antibodies (PCA)

Sikiri's group were so struck by it that they proposed it might be the first of an entirely new class of medicines "a useful prototype of a new class of drugs," which they called organoprotective agents [9]

The technique behind a safe B12 injection A subcutaneous B12 injection is given with clean hands, a fresh needle, the skin wiped and dried, and the needle inserted into a pinch of fat at roughly a 45 to 90 degree angle before the dose is released slowly