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22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity

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Depending on the situation, recovery may benefit from: Adequate sleep A balanced diet with sufficient protein Appropriate physical therapy or rehabilitation Gradual return to activity when medically appropriate Following guidance from qualified healthcare professionals These approaches have substantially stronger evidence than many emerging compounds currently under investigation