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This includes vegetarians, vegans, and those with anemiaoften caused by iron deficiency due to blood loss, poor diet, or absorption issuesas well as individuals experiencing chronic fatigue
The BNF recently (2019) changed its guidance for the frequency of injections of hydroxocobalamin: Every 2 months in patients who have neurological symptoms Every 2 or 3 months when there are no neurological symptoms
This distinction affects code selection and may affect payer reimbursement rates
Some bacteria also produce methylcobalamin and in the environment, methylcobalamin serves as a biomethylation compound of certain heavy metals
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