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Organisations providing NHS care must take account of the NHS Constitution when treating you, so you may find it helpful to refer to it if you are thinking about making a complaint

Therefore, B12 from food or oral supplements will be poorly absorbed if: There is low stomach acid due to use of a Proton Pump Inhibitor (PPI) There is low intrinsic factor

Arendt JF, Farkas DK, Pedersen L, Nexo E, Srensen HT

Understanding how liver pathology affects B12 metabolism helps clarify why levels may become elevated in certain circumstances

If corneal involvement is present, consider E50.2 or E50.3

The effect of long-term glycemic control with semaglutide on diabetic retinopathy complications has not been studied