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25 Patients diagnosed with vitamin B 12 deficiency whose history and physical examination do not suggest an obvious dietary or malabsorptive etiology should be tested for pernicious anemia with anti-intrinsic factor antibodies (positive predictive value = 95%), particularly if other autoimmune disorders are present

Light Protection: Keep vials in their original box or a dark drawer

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Vitamin B12 shots are only available by prescription following a clinical diagnosis of low levels