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Identifying the underlying cause is essential for appropriate management: Dietary history to assess B12 intake Medication review (metformin, proton pump inhibitors, H2-receptor antagonists) Assessment for malabsorption disorders (coeliac disease, Crohn's disease) Previous gastric surgery Autoimmune conditions History of nitrous oxide exposure (recreational or medical) NICE guidance emphasises that treatment should not be delayed whilst awaiting test results if clinical suspicion of B12 deficiency with neurological involvement is high, as delayed treatment may result in irreversible neurological damage

Cobalamin, another name for vitamin B12, is a water-soluble vitamin that is essential to several body processes

Alternatively, you can begin your journey toward optimal health with a B12 injection in Palm Beach Gardens , Florida by filling out our form

We will also make any necessary adjustments to your treatment plan based on your progress and feedback