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Diagnosing vitamin B 12 deficiency Your doctor will ask you about your diet and about any family history of anemia

Compression of the L5 nerve root causes pain radiating from the buttock down the lateral leg to the top of the foot, with potential weakness in foot dorsiflexion

Give patient information sheet appendix 1 GIVE ADVICE ON SICK DAY RULES and give STEROID EMERGENCY CARD ( For advice on how to safely withdraw long term steroids see patient information letter ) see page 5 GASTROPROTECTION: PPI (proton pump inhibitor) therapy should not be given routinely but should be considered for people at high risk of gastrointestinal bleeding or dyspepsia

A settling-in reaction is typically a day or two, occasionally up to three