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[Vitamin B12 in practice: When to test ? How to test ? And who should be treated?]
Jean-Philippe Bruttin1,2, Patricia Gilet3, Francesco Grandoni1
1Service et laboratoire central d'hématologie, Département d'oncologie et département de médecine de laboratoire et pathologie, CHUV, 1011 Lausanne.
Abstract:
Vitamin B12 deficiency is common in outpatients and inpatient populations, with potentially severe neuropsychiatric and hematological impact, which requires timely diagnosis and treatment. The different diagnostic tests all have their limitations but can be combined, sequentially. We propose to review the treatment options according to the different etiologies of the deficiency, highlighting the costs of the therapies and their coverage by the health insurance.
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