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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

Athletes subject to drug testing should be aware that use could result in positive tests and associated consequences

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For clients diagnosed with a B12 deficiency, our medical team typically recommends more frequent injections at firstoften once a week or as clinically indicateduntil your B12 levels reach a healthy range

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