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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
Methionine is effective for initial weight loss
Provides me with an extra boost of energy that lasts for a few days
Here you will find private, first-class care in a relaxing and private environment
During your consultation, Nurse Desiree can help determine whether B12 injections may be appropriate for your needs
