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An unusual case of high anion gap metabolic acidosis

The treatment of a severe deficiency is divided into two phases: High-dose restorative therapy (injection) Through injections with B12, the body’s depleted stores are replenished and blood values quickly raised Maintenance treatment (tablets/capsules or injection) Through an oral follow-up treatment, values are stabilised and maintained

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It also lays the groundwork for the subsequent discussion on clinical implications and research gaps presented in Section 9

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