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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

This is why its important to opt for a quality supplement with a protective outer casing and a pure bioavailable content

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Adding more water (5 mL) increases the daily draw to 10 units (easier to measure) but does not solve the shelf-life problem