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The people with the highest risk of B12 insufficiency or deficiency are : Whats the Most Efficient Way to Supplement B12

Its stability, lower cost, and extensive safety record make it the practical default choice

For example, microspherocytosis in autoimmune hemolytic anemia, macro-ovalocytes in MA, etc

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The technique is learnable, but the decisions around it (do you actually need it, what dose, how often, and is something else being missed) are medical judgements, and getting them wrong carries real cost