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Description
An endogenous supply is theoretically possible, but only with extremely good intestinal health

Acylcarnitine profiles can be diagnostic (Table 2) [8, 10] and indicate which gene(s) to analyse to further confirm the diagnosis

Typically, the cost for a Vitamin B12 injection without insurance coverage ranges between $20 and $80 per injection

A test is useful to confirm deficiency, but its not always required before starting a private B12 injection course

similarly not universally available and has multiple causes Full blood count to identify macrocytosis or megaloblastic changes Blood film to assess red blood cell morphology NICE CKS guidance and the British Society for Haematology (BSH) recommend that clinical symptoms should always be considered alongside laboratory values, particularly in high-risk groups such as post-bariatric surgery patients

See the procedure codes section for additional reference guides
