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I went in for just a consult but so impressed I knew DR Terrana was the right person

Disclaimer: Due to high demand, GLP-1(s) may not always be available

Cobalamin C defect should be considered in the differential diagnosis in adult patients with atypical hemolytic uremic syndromes, slow unexplained decline in renal function, idiopathic neuropathies, spinal cord degenerations, ataxias, unexplained or recurrent thrombosis, visual field defects, maculopathy, and optic disc atrophy (120)

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For patients with severe cases of anemia or B12 vitamin deficiencies, a form of vitamin B12 called Hydroxocobalamin is sometimes used and does require a prescription