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Dovale, who co-owns Two Nice Guys Pharmacy in Kelowna, found that even if patients were stable and motivated to stay on Opioid Agonist Treatment (OAT), they may miss an appointment or miss a couple of days of treatment

Primary Care Guidelines for B12 and Folate Testing Indications for B12 and Folate Testing No need to check B12 levels in patient on parenteral B12 treatment (they will always be high) There is no indication to check GPA or INF purely because of family history of autoimmune disease or hypothyroidism Care should be taken when prescribing folic acid alone If folic acid is given to a patient who is actually b12 deficient, this may precipitate irreversible neurological complications References 1

Methylcobalamin and 5-deoxyadenosylcobalamin are the forms of vitamin B 12 used in the human body (1)

Providers who offer MIC injections should frame them as metabolic support rather than a standalone weight loss treatment