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Many of our GPs are unaware of the mental health aspect of B12 deficiency despite depression being one of the most common symptoms
Children presenting neurological signs or symptoms, those unable to take oral medication, individuals with known malabsorption syndromes, infants under 6 months old, and patients using medications that may interfere with vitamin B12 absorption are typically treated with a parenteral protocol (1)
Delaying gastric emptying can affect the relationship between intrinsic factor and vitamin B12
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