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N.et al (2015)

Requirements of vitamin B12 in excess of normal (due to pregnancy, thyrotoxicosis, hemolytic anemia, hemorrhage, malignancy, hepatic and renal disease) can usually be met with intranasal or oral supplementation

Online education modules can provide scalable approaches to reaching large numbers of providers efficiently (Morotti et al., 2017)

While of limited availability, investigating clonal species (e.g., marbled crayfish) or strains of sexually reproducing species with very low heterozygosity (e.g., the NHGRI-1 strain of the wildtype zebrafish) can tell us much about the specific role of epigenetics by eliminating or at least minimizing natural selection as a factor in experiments on natural selection

Most patients with mildly elevated B12 and no identified pathology require only periodic monitoring with reassurance once serious causes have been excluded

However, some individualswhether due to conditions like pernicious anemia, gastrointestinal disorders, or the effects of certain surgeriesmay have trouble absorbing enough B12 from food or oral supplements