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Your doctor may: Monitor serum B12 levels Evaluate homocysteine and methylmalonic acid (MMA) Check complete blood count (CBC) Assess for symptom improvement (fatigue, cognitive clarity, neuropathy) Symptoms like improved energy, mood, and focus typically appear within days to weeks

Vitamin B12 is one of the many important vitamins that we typically get through the consumption of animal-based products such as dairy products, poultry, meat, and fish

Altogether it can be concluded that an observed elevation of cobalamin in blood merits the a full diagnostic work up to assess the presence of disease

There are many treatments for the disease, which is progressive, but there is no cure