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Bile is the main form of B 12 excretion

It is important to keep your GP informed of any changes in your symptoms and to attend routine medication reviews

Pregnancy or nursing Not recommended for women who are pregnant, planning to become pregnant, or breastfeeding

While B-12 is available in various forms, injections are recommended for optimal absorption

Symptoms of folate deficiency Some of the symptoms that can be caused by a lack of folate include: General symptoms Fatigue Irritability Headache Dizziness Gastrointestinal symptoms Sore tongue Mouth ulcers Diarrhea Loss of appetite Neurological symptoms Numbness and tingling in the hands and feet Confusion Depression Cognitive impairment Dementia Hematological symptoms Anemia (pale skin, shortness of breath) Testing for vitamin B12 and folate deficiency When to test Since vitamin B12 and folate affect many functions in the body and there are many possible symptoms, blood testing for vitamin B12 and folate is commonly ordered by the physicians at the Adult Down Syndrome Center

Yes, but you must append Modifier 25 to the office visit code to show it was a separate and necessary medical evaluation