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Injecting B12 on top of an undiagnosed cause masks the underlying deficiency picture and can delay diagnosis of pernicious anaemia

Current medications: interactions are a provider-level assessment, not something a chart can capture

This impairment of DNA synthesis affects the rapidly dividing cells of the bone marrow earlier than other cells, resulting in the production of large, immature, hemoglobin-poor red blood cells (macrocytosis), as well as effects on white blood cells, including abnormal (hypersegmented) neutrophils and reduced overall cell counts (pancytopenia)

Step 4: Follow up with your doctor Depending on which medications you are taking, youll have follow-up lab tests (typically every 90 days) and review the results with your doctor

There's no one-size-fits-all answer to this question