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It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug/Laboratory Test Interactions), use of a gluten free diet in nontropical sprue, or administration of antibiotics in tropical sprue

Differentiation between these two conditions is essential because the treatments are very different

No official human dosing standard exists, so doses should be set with a physician

Uses : Suitable for administering larger doses of B12, particularly in cases where higher volumes are prescribed

Some patients develop predominantly neurological symptoms with minimal anaemia, which is why clinical assessment and testing are important even when blood counts appear normal

Whether youre coming in for fatigue, weight gain, mood changes, hormone imbalance, or chronic conditions that havent been explained, we take time to listen, test, and tailor your care