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Any disruption along this pathway can lead to deficiency regardless of dietary intake, which is why some patients need supplementation even when they eat B12-rich foods
That could change the situation
Come in for a B12 shot this week and see how you feel by Friday
State that plainly rather than overselling
If reticulocytes have not increased after treatment or if reticulocyte counts do not continue at least twice normal as long as the hematocrit is less than 35%, diagnosis or treatment should be reevaluated
The beauty of Sculptra injections lies in the subtlety of the change
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