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Using an insulin syringe (typically 2931 gauge, 5/16 to 1/2 inch needle), draw up the calculated dose (10 units = 0.1 mL)

What that means isnt always straightforward: In the Swiss study mentioned above, nearly three-quarters of primary-care docs surveyed reported using a multi-step approach (and not always the same one) when testing for B12 deficiencya practice that Miller says improves the odds of an accurate diagnosis since serum B12 levels alone dont always accurately identify a deficiency

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The mechanism behind this laboratory artifact remains unclear, but it means some patients may receive unnecessary b12 supplementation based on misleading test results

They are not a prescription