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What that means isnt always straightforward: In the Swiss study mentioned above, nearly three-quarters of primary-care docs surveyed reported using a multi-step approach (and not always the same one) when testing for B12 deficiencya practice that Miller says improves the odds of an accurate diagnosis since serum B12 levels alone dont always accurately identify a deficiency

van Mil NH, Oosterbaan AM, Steegers-Theunissen RPM

but please, give us a choice of a tried and tested treatment method and not just replace our preferred method of treatment with another unpopular method