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Recommended investigations include: Full blood count with blood film examination Serum vitamin B12 level Serum folate (to exclude combined deficiency) Intrinsic factor antibodies Thyroid function tests (autoimmune association) Consider MMA and homocysteine if diagnosis uncertain and available Neurological examination should be performed in all patients, assessing for peripheral neuropathy, proprioception loss, and signs of subacute combined degeneration of the spinal cord
The process takes just a few minutes, usually administered in the upper arm or gluteal muscle
"Fatigue can have a number of causes and I would do a test to see if their B12 is deficient or not," Scott said
In practice that means three things
