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2012) Longitudinal data support these findings

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In this situation, it can be challenging to demonstrate B12 deficiency even when there are typical symptoms (including neuropathy-like paraesthesia and numbness), as serum B12 concentrations may be just within, or sometimes above, the normal range due to the oral supplementation

That is not always obvious at the time, which is why dose and schedule should be set against a confirmed clinical picture rather than guesswork