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If the GP says that she doesn't have macrocytic anaemia so doesn't need this pattern of treatment, you could point out that NICE guidelines for B12 deficiency say that "Note: clinical features of vitamin B12 deficiency can occur without anaemia and without low serum levels of vitamin B12." cks.nice.org.uk/topics/anae

The most common causes include: Inadequate dietary intake (common in vegetarians/vegans) Malabsorption syndromes (e.g., celiac or Crohns disease) Atrophic gastritis Long-term use of acid-reducing medications Pernicious anemia (an autoimmune condition) B12 deficiency is one of the leading reversible causes of anemia

Handy sterile water multi-draw terms: Understanding Sterile Water Multi-Draw Options in Laboratory Research When conducting laboratory experiments that require the reconstitution of lyophilized proteins, peptides, or other sensitive chemical agents, the quality of your diluent is paramount

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The need to schedule vitamin B12 injections is an avoidable addition to the cost and complexity of their care