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Talk with your doctor for advice if you believe you may benefit from vitamin B12 supplements or injections.

Diagnosing Vitamin B12 Deficiency in the UK Diagnosis of vitamin B12 deficiency in the UK follows a structured approach combining clinical assessment, biochemical testing, and investigation of underlying causes, as outlined in guidance from NICE and the British Society for Haematology

doi: 10.1016/j.nut.2019.01.002

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Magnesium supplementation and/or discontinuation of Esomeprazole may be required

A separately reported approach uses 1 mg daily for 20-day cycles 3-4 times per year totaling 20 mg per cycle, which is closer to the modified-form middle ground