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Typically, high levels of vitamin B12 happen due to supplementation or injections

The numerator thresholds were developed according to evidence and consensus-based clinical guidelines for ED time thresholds, including guidelines developed by The Joint Commission (TJC), the American College of Emergency Physicians (ACEP), and the Emergency Department Benchmarking Alliance as well as input from a TEP, literature reviews, and environmental scans

MRI scans are often done before treatment to rule out other causes of nerve pain (like tumors or multiple sclerosis)

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Consultation and preparation Before receiving a vitamin B12 injection, a thorough consultation is essential