b12 deficiency in spite of injections Vitamin Vitamin B12: Important Nutrient Combinations
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Since serum B12 concentrations do not always mirror the clinical picture, this marker is not optimally suited to monitor the effect of treatment, although it can help uncover a lack of patient compliance and malabsorption of oral B12 treatment

Cobalamin deficiencies in adults: update of etiologies, clinical manifestations and treatment

By the time most people are diagnosed, their bodys long-term B12 reserves (which are stored in the liver) are completely empty
