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If you lose HSA eligibility, you still own the account and can use the funds for qualified expenses, but you must stop contributing until you regain eligibility

There are incompletely answered questions about the long-term game plan for such patients - will they need indefinite treatment to sustain benefit, and will that be justifiable

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October 20, 2021 blood tests: serum B12: 281 pmol/l serum methylmalonic acid: 148 nmol/l serum homocysteine: 10.4 mol/l October 20 (after blood draw): Began daily intake of Deva multivitamin containing 6 g of B12 and 60 mg of vitamin C, with no other source of B12