NHS approach to B12 deficiency: NICE Clinical Knowledge Summaries recommend investigating B12 deficiency in patients presenting with macrocytic anaemia, unexplained neurological symptoms, or risk factors including pernicious anaemia, gastrectomy, malabsorption disorders, metformin use, proton pump inhibitors, or nitrous oxide exposure
Taking supplements with food can help reduce these effects
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Antimicrobial preservative use in parenteral products: past and present
Work with healthcare providers to monitor metabolic markers (HbA1c, lipids, liver function) throughout the protocol