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If a patient has specific or red flag features B 12 deficiency testing should be initiated (see Figure 1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency * and/or Non-specific ** or Specific Symptom of B 12 Deficiency )

To administer: Withdraw the reconstituted solution (5 mL) into a syringe and inject through an I.V

Firstly, refrain from consuming any food or beverages, including water and chewing gum, for a minimum of two hours prior to the procedure

Case 4, The 28-year-old prevention patient No visible concern yet, family history of accelerated change in her mother and aunt, and she wanted to start banking now rather than chase later