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Peptides should not delay necessary surgical intervention, especially in cases with progressive neurological deficits or cauda equina syndrome

if her blood levels are ok she doesnt need injections now but that her long standing forgetfulness may not be reversible

3 The UK National Institute for Health and Care Excellence (NICE) states that a cut-off of 200 ng/l identifies 97% of people with B12 deficiency, and a level below 100 ng/l is usually accompanied by metabolic or clinical evidence of B12 deficiency