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For B12 deficiency treatment , the approach depends on severity, underlying cause, and presence of neurological symptoms

If you choose to work with commercial paint thinners, consider working in a well-ventilated area or outdoors

1 This is compared to the 165 drug and biological product warning letters issued in FY22, 74 of which were based on inspections

Epidemiology The prevalence of DSED also is not completely clear because the condition has not been subjected to large, community-based studies explicitly designed to estimate prevalence (4)

Functional and confirmatory markers Methylmalonic acid (MMA), homocysteine, and holotranscobalamin can provide information that total B12 does not