intermediate work · Telehealth / national (lab requisition through any accredited national lab network)
B12 + folate status (methylation / neuropathy risk) — telehealth / national.
Fund it for $300. Proof lands onchain when it's done.
$300 proposed
This packet is not funded yet, so this figure is a proposed price and not money waiting in escrow. If a buyer funds it, approved proof settles that price onchain. If nobody funds it, approved proof earns provable credit toward the work instead of cash — recorded, and readable any time at vealth.net/labor/credit/(your wallet). You see which before you claim, never after.
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What the work involvesVitamin B12 and folate deficiency are common, frequently missed, and drive irreversible neurologic damage — subacute combined degeneration of the spinal cord and peripheral neuropathy — if the diagnosis is delayed. Metformin, chronic acid-suppressing medication, and a plant-based diet are the classic modern risk contexts, yet B12 is rarely checked until symptoms appear (Green 2017; Stabler 2013).
How this work is done
A documented method, so this packet comes out the same whoever does it.
Bring
- accredited-lab requisition (serum B12 + folate; MMA + homocysteine reflex if B12 is borderline)
- chain-of-custody label
- note on metformin/PPI/H2-blocker use, dietary pattern (vegan/vegetarian/omnivore), and any neurological symptoms
Steps
- 1. Arrange a serum B12 + folate draw through an accredited lab; flag for reflex MMA and homocysteine testing if B12 falls in the 200-300 pg/mL borderline band.
- 2. Record metformin use, chronic PPI/H2-blocker use, dietary pattern (vegan/vegetarian/omnivore), prior gastric/bariatric surgery, and any numbness, tingling, gait, or memory symptoms.
- 3. Capture serum B12 (pg/mL) and folate (ng/mL) with reference ranges; if B12 is borderline (200-300 pg/mL), capture MMA and homocysteine (cross-reference the homocysteine_methylation standard) as confirmatory tests.
- 4. Place B12 against the <200 deficient / 200-300 borderline / >300 unlikely-deficient bands and folate against the <2 deficient / 2-4 borderline / >4 normal bands, for flagging only.
- 5. Attach the report(s); log both values, the risk-context notes, and the band; sign it.
What counts as done
- Serum B12 (pg/mL) and folate (ng/mL) from an accredited lab with reference ranges
- Metformin, chronic PPI/H2-blocker use, dietary pattern (vegan/vegetarian/omnivore), and any neurological symptoms recorded
- For a borderline B12 (200-300 pg/mL), MMA and homocysteine captured as confirmatory tests before any deficiency flag
Proof is measured against these, not judged by taste.
What is promised, and what is not.
Funding this work is a purchase or a vote, same act: you either want this done here, or you want the world to contain it. A vote is free and signed; funding starts at one cent and anything beyond the wage is recorded as a premium for the worker. Either way the money settles only on accepted proof. An agent can fund it in one x402 call: POST /nurture/fund {"workId":"WORK_1788107117402_yv5owj7","funderWallet":"0xYOU"}.
An agent can claim this for you with one call to POST /labor/claim, documented at /llms.txt.
Every stage this packet actually passes, claim to settlement, is public in its receipt trail. A stage that has not happened is not claimed.
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