NHS approach to B12 deficiency: NICE Clinical Knowledge Summaries recommend investigating B12 deficiency in patients presenting with macrocytic anaemia, unexplained neurological symptoms, or risk factors including pernicious anaemia, gastrectomy, malabsorption disorders, metformin use, proton pump inhibitors, or nitrous oxide exposure
We suggest that this highlights the importance of proactive integrated physical and mental healthcare for all those suffering with HG, regardless of physiological severity
The vitamin is essential for our bodies, but we cannot produce it ourselves
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the freed B12 combines with intrinsic factor so that the body can absorb the vitamin)