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Monitoring and follow-up Monitor clinically and repeat tests as indicated by the underlying condition Ongoing monitoring of liver function, renal function, and FBC as clinically indicated Regular review in primary care or specialist clinics for underlying conditions Patient advice: Patients should understand that elevated B12 is a marker requiring investigation rather than a condition requiring direct treatment

Vitamin B12 plays a vital role in red blood cell formation, nerve function, DNA synthesis, and overall metabolic health

Calcium and Vitamin D can both be derived from dairy products

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The anesthetic medication and the cortisone will go in the same place, so the doctor wants to make sure that the injection will put the medication in the right place to provide the most benefit