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Understand the difficulties in gaining an accurate diagnosis of pernicious anaemia

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Regular check-ins and monitoring sessions will keep us informed about your progress, allowing us to make necessary adjustments to your plan as you continue your transformative journey

These injections are often recommended for vegetarians and vegans, as well as those with absorption disorders

I felt like every nerve ending in my nervous system was going crazy and I had palpitations, and exhaustion

GPs can prescribe B12 injections following appropriate investigation, which should include: Full blood count to identify macrocytic anaemia Serum B12 and folate levels to confirm deficiency (using laboratory-specific reference ranges) Methylmalonic acid and/or homocysteine when B12 results are borderline Intrinsic factor antibodies if pernicious anaemia is suspected Additional tests depending on clinical presentation (e.g., thyroid function, coeliac serology) When both B12 and folate deficiency are present, B12 should be replaced before folate to avoid precipitating subacute combined degeneration of the spinal cord