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Even if the underlying problem is treated appropriately and the digestive tract returns to normal, the vomiting, diarrhea, and weight loss may continuebut now because of the vitamin B12 deficiency, not the initial disease process

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Timing Optional Marker Urinalysis Why it matters Can add basic kidney and hydration context when there are urinary symptoms or kidney concerns

IV therapy bypasses digestion for direct elevation

However, under reducing conditions, the cobalt center is reduced to Co(II) or even Co(I), which are usually denoted as B 12r and B 12s , for reduced and super reduced respectively