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The 10-20-50 Rule: Clinical Platelet Transfusion Thresholds: This is a clinical guideline used by doctors to guide treatment decisions: Below 10,000 per L: Platelet transfusion is recommended to prevent spontaneous bleeding Below 20,000 per L: Transfusion may be required if additional risk factors such as fever or infection are present Below 50,000 per L: Transfusion is needed before any surgery or invasive procedure You should seek medical attention promptly if: Platelet count falls below 1,00,000 per L without a known cause Platelet count is below 50,000 per L with symptoms such as bleeding or bruising Signs of serious bleeding appear at any level, such as blood in urine or stools, widespread bruising, or severe headache For patients in the Delhi NCR region, Artemis Hospitals offers expert evaluation and management of thrombocytopaenia across all causes and severity levels, along with access to advanced diagnostic and transfusion support services

When results fall in this borderline range, a methylmalonic acid test is recommended to confirm whether a functional deficiency exists

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Also the wrong reason b12 Injections are refused or only prescribed 2-3 monthly If dietary b12 deficiency of course once B12 replete your body can use it

Medical professionals must diagnose the deficiency accurately before giving the go-ahead

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