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24 In a clinically symptomatic patient with specific features of B 12 deficiency, order a B 12 test, see Figure1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency* and/or Non- Specific** or Specific Symptom of B 12 Deficiency for more detail

Tesamorelin works by binding the GHRH receptor on pituitary somatotrophs, stimulating pulsatile release of endogenous growth hormone

Supplements Vitamin B12 can be easily supplemented with oral, sublingual (under the tongue), nasal sprays and gels, and topical forms

You can talk to your doctor about which form is better for your situation