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This supports the need for careful patient selection, appropriate dosing, and surveillance when prescribing tramadol

Sample meal plan Breakfast: Weetabix, Oatibix or Ready Brek with plenty of skimmed milk OR high protein yogurt pot or pouch Lunch and Dinner ideas: Puree chicken with potato and vegetables Puree spaghetti bolognaise and vegetables Puree lentil and vegetable soup Puree tinned fish (tuna, sardines, mackerel) with potato and vegetables Half your meal portion should be from a protein rich food

Is there a safe upper limit for B12

The problem is that most resources either dismiss side effects entirely or exaggerate them into something terrifying