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Model vertical velocity was used in the simulations, which were driven by NCEP/NCAR reanalysis data

This hormone is not effective when taken orally

Finally, if the serum cobalamin concentration at the time of reevaluation is subnormal, further work-up is required to definitively diagnose the underlying disease process and cobalamin supplementation should be continued weekly or bi-weekly (for parenteral supplementation) or daily (for oral supplementation)

Consensus on the Clinical Practice of Diagnosing Vitamin B12 Deficiency The panelists agreed that the delay in the diagnosis of vitamin B12 deficiency may be explained by barriers such as the variability of symptoms, low doctor awareness of the disease, not paying attention to the patients symptoms, and limited access to modern laboratory markers (Table 1)