We recommend storing serum for further analysis including MMA, or holotranscobalamin and intrinsic factor antibody analysis, and treating the patient immediately with parenteral B12 treatment
Resolution of hematologic symptoms: With adequate treatment, anemia-related symptoms such as fatigue, pallor, and weakness tend to subside
References Abdelwahab, Omar Ahmed, et al
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Storage: Store In Favorable Conditions-Picture Courtesy: Santa Cruz Animal Health Keep the formulation in conditions that are favorable for it like temperature must be set between 15C to 25C and place must be dry and dark