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Sikiric P, Gojkovic S, Krezic I, Smoday IM, Kalogjera L, Zizek H, Oroz K, Vranes H, Vukovic V, Labidi M, Strbe S, Baketic Oreskovic L, Sever M, Tepes M, Knezevic M, Barisic I, Blagaic V, Vlainic J, Dobric I, Staresinic M, Skrtic A, Jurjevic I, Boban Blagaic A, Seiwerth S

(The cost of B12 is pennies but the time for nurses to give the injection appears to be the saving here.) Some practices are enclosing diet sheets for patients to learn how to make sure they are eating foods containing B12

In some cases, patients may need to be referred to a specialist for further evaluation

Evidence strongly supports their use for pernicious anemia, malabsorption disorders, and dietary deficiency

Stress and Healing Chronic stress elevates cortisol, which directly impairs tissue healing

This is most relevant in patients with pernicious anaemia receiving initial replacement therapy and requires monitoring of electrolytes