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The rate at which your body converts food into energy is one indicator of your metabolic rate

[DOI] [PubMed] [Google Scholar] 74.Ettinger MP, Littlejohn TW, Schwartz SL, et al

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Nascobal Dosage and Administration 2.1 Testing and Other Considerations Prior to Dosing Prior to treatment, obtain hematocrit, reticulocyte count, vitamin B12, folate, and iron levels [see Dosage and Administration (2.4)]

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Even if you do get a Doctor to order your Vitamin B12 level they may still say its normal or insist that taking Vitamin B12 is unnecessary and unlikely to help