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Diagnosis and treatment of B12 deficiency often proves to be a very difficult challenge for the patient but in some areas a diagnosis of PA (a positive IFAB test) can represent a golden ticket to treatment, leaving others with identical symptoms, but no confirmed diagnosis of PA, without any treatment at all

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Hydroxocobalamin is also used to treat cyanide poisoning and to prevent and treat a certain type of anemia called pernicious anemia