A careful review can determine whether B12 alone is enough or whether a broader nutrient strategy is more appropriate
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Therefore, clinicians need to recognize the neurologic symptoms and signs of vitamin B12 deficiency and specifically seek evidence for this diagnosis if it might explain a patients condition rather than waiting for hematologic evidence of vitamin B12 deficiency to turn up on a complete blood count ordered for that or other purposes
You should consult your GP for a formal diagnosis, which may require a different treatment plan as per NHS guidelines