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Screening for vitamin B12 deficiency is done for patients with one or more risk factors, such as gastric or small intestine resections, and inflammatory bowel disease

Severity may affect clinical decision-making, but it doesnt change the ICD-10 category

These include: Age and overall health status Severity of Vitamin B12 deficiency Presence of underlying medical conditions, such as gastrointestinal disorders Concurrent medications that may interact with Vitamin B12 For example, older adults or those with severe deficiencies might need more

Day 28+: Discard

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If a person has both low b12 and low iron then their red blood cells may appear to be normal sized with normal range MCV and MCH due to the effects of the iron deficiency masking the effects of the B12 deficiency