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After the resolution of the deficiency, if patients show clinical or hematologic signs associated with polycythemia vera, it is recommended they undergo further evaluations
As cited above, nutrient therapists such as Dr Kuklinski recommend a general administration of biotin as part of a high-dose B12 therapy
How often IV B12 is given can vary from weekly to monthly, depending on how the patient responds and the reason for the deficiency
these treatments are not universally available to all patients
