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doi: 10.11648/j.avs.20150304.13 114 KhanW

Managing Abnormal Vitamin B12 Levels If your test reveals that your B12 levels are not within the normal range, the next steps will depend on the underlying cause

ICD-11 also updates terminology and subcategories, allowing clinicians to capture nuances such as disease type, severity, and associated manifestations, which improves coding precision and the quality of clinical data for research and treatment planning

If reactions first appeared or significantly worsened at a specific dose level, discuss the following options with your healthcare provider: extended time at the current dose before escalating further, smaller escalation increments , pre-injection antihistamine protocol, or exploring whether the therapeutic goals can be achieved at a lower dose

Acknowledgements This work was financially supported by National Natural Science Foundation of China (22274047, 21974042, 21645008), the Scientific Research Fund of Hunan Provincial Education Department (18A010), the Science and Technology Department of Hunan Province (2021JJ30012)