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Description

New England Journal of Medicine , 323(1), 1-6

If the patient has additional risk factors (prior history of thrombosis, obesity, or is on concurrent corticosteroids), that might bump them into a high-risk category, wherein fasting is not recommended due to cumulative risk

Testing For B12 Deficiency: There are several different ways you can test for a functional B12 deficiency

Polymorphisms in various genes involved in vitamin B 12 metabolism, including the genes encoding the intrinsic factor-cobalamin receptor (60) and the holo-transcobalamin receptor (61), have been associated with increased NTD risk in some studies