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It is irresponsible and can lead patients with low B12 to lifelong nerve damage

& Gebhart, G

Gene therapy represents a promising avenue in oncology, using nucleic acids such as DNA, siRNA, mRNA, and shRNA to modulate gene expression in cancer cells [55]

25 Patients diagnosed with vitamin B 12 deficiency whose history and physical examination do not suggest an obvious dietary or malabsorptive etiology should be tested for pernicious anemia with anti-intrinsic factor antibodies (positive predictive value = 95%), particularly if other autoimmune disorders are present

So that you always know what to expect from your primary care clinic