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Patients who expect dramatic body composition changes will be disappointed

Diagnosis and treatment of B12 deficiency often proves to be a very difficult challenge for the patient but in some areas a diagnosis of PA (a positive IFAB test) can represent a golden ticket to treatment, leaving others with identical symptoms, but no confirmed diagnosis of PA, without any treatment at all

The most common reactions within this period are short-term, self-resolving lethargy and/or fever

But the priority should remain the same: viable, informed, and evidence-based care