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on alternate days until there is no further improvement

When Surgical Delay Is Not Negotiable If the B12 deficiency is severe (particularly if below 100 pmol/L or with neurological symptoms), I do not proceed, regardless of the patients preferences regarding timing

Dungan, C

From a hematology perspective, Vitamin B12 plays a crucial role in red blood cell production and the prevention of hematological disorders such as megaloblastic anemia