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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
They play crucial roles in numerous biological processes, acting as messengers within the body to signal various functions such as tissue repair, immune response, and hormone regulation
Apply the cream moderately to your face and massage your face
If clinically appropriate, you may receive an intramuscular Vitamin injection to help restore and maintain healthy B12 support
A., Tuttle, K