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Hydroxocobalamin: Hydroxocobalamin is naturally produced by bacteria in the digestive tract when food is broken down and converted into methylcobalamin and adenosylcobalamin

Furthermore, the high prevalence (57%) of persistent VCD six to 12 months after the initial diagnosis is a cause for concern

Ensuring adequate protein, iron, zinc, and biotin intake helps minimize hair loss

We know that macrocytosis is a very, very late stage of B12 deficiency and that severely deficient patients may not present with this sign, the administration of folic acid also masks macrocytosis by normalising the size of the blood cells

It is hoped that these advances can make a real and lasting impact on how doctors and patients think about bone health