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The causes of B12 deficiency can be subdivided into congenital and acquired (Table 1)

Unlike metformin, which interferes with calcium-dependent B12 absorption in the ileum, GLP-1 receptor agonists do not have a known mechanism that would directly impair B12 absorption or metabolism

Getting NICE to produce a Guideline will mean that over a three to four year period NICE will consult with stakeholder groups, including ourselves, and thoroughly review the way in which Pernicious Anaemia is diagnosed and treated

Vitamin B2 (Riboflavin) Riboflavin is naturally present in some foods and is an essential component of two major coenzymes that play major roles in energy production, cellular function, metabolism of fats and growth and development