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Knerr, P

If you are pregnant or nursing

This trend reflects a broader shift toward comprehensive metabolic management that addresses multiple physiological pathways simultaneously

Additional tests may include full blood count (to check for macrocytic anaemia), methylmalonic acid and homocysteine levels (which rise in B12 deficiency), and tests for intrinsic factor antibodies if pernicious anaemia is suspected

Risks: Slow results and often ineffective for significant pigmentation