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Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months

References Khandelwal D, Dutta D, Chittawar S, Kalra S

Preventing vitamin B 12 deficiency To prevent vitamin B 12 deficiency, vegans should take adequate amounts of vitamin B 12 supplements to make up for the shortage in their diet

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Since the body cannot produce B12 on its own, obtaining an adequate amount through diet or supplementation is essential

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