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Retrieved 17 January 2017

Introduction In todays world, long days, social events, and constant mental demands push the body and brain harder than ever

Monitoring and follow-up Monitor clinically and repeat tests as indicated by the underlying condition Ongoing monitoring of liver function, renal function, and FBC as clinically indicated Regular review in primary care or specialist clinics for underlying conditions Patient advice: Patients should understand that elevated B12 is a marker requiring investigation rather than a condition requiring direct treatment

Cost containment pressures drive these decisions

I have struggled with multiple health issues and complications for years with an auto immune disease called Lupus SLE