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Figure 1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency* and/or Non-specific** or Specific † Symptom of B 12 Deficiency TOP Management Treatment In suspected B 12 deficiency, supplement both B 12 and folate

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Without sufficient B12, this sheath can weaken, which may explain symptoms such as tingling, numbness, memory issues, or “brain fog.” From an energy standpoint, B12 supports the methylation cycle , a chemical pathway involved in energy metabolism and detoxification