Table 6: Examples of Treatment Regimens for Clinical Vitamin B12 Deficiency.
| Due to | Initial Cyanocobalamin | Maintenance Cyanocobalamin |
|---|---|---|
| Pernicious anemia | Varies, not limited to:
OR
|
OR
|
Other foodbound B12 malabsorption problems |
Varies, not limited to:
OR
OR
|
OR
|
| Rarer malabsorption problems (tape worms, bacterial overgrowth) |
AND Cyanocobalamin varies, not limited to:
OR
|
OR
Treating underlying condition might resolve B12 deficiency. If cyanocobalamin is d/c'd, follow up with regular assessment of metabolites |
Approaches suggested by Stabler and Allen and Carmel
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- Centers for Disease Control and Prevention
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