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The duration for B12 to work varies from person to person

Multiple myeloma, a cancer of certain white blood cells HIV infection Pregnancy Use of oral contraception Use of the anticonvulsant drug phenytoin Blood disorders like chronic myelogenous leukemia or polycythemia vera Alcoholic liver disease, cirrhosis, or hepatitis Kidney disease Use of nitrous oxide, also known as laughing gas or whippets Autoimmune disorders Rare genetic disorders Interpretation of test results depends on various factors, including symptoms, medical history, and other laboratory findings

Managed Medicaid plans typically operate concurrent review processes, requiring periodic reauthorisation based on treatment progress