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As such, these tests should be utilised in a supplementary context alongside the vitamin B12 level, full blood count and investigations to exclude other conditions[11]

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For patients without absorption disorders, high-dose oral supplements of 1,000 to 2,000 mcg daily have been shown to be comparably effective at correcting mild to moderate deficiency at lower cost and greater convenience.

Monitor closely for hypothalamic amenorrhea, a condition where excessive energy deficit suppresses the hypothalamic-pituitary-gonadal axis

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