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Athletes and Active Individuals : Increased physical activity can lead to higher demands for nutrients, including B12, to support energy production and recovery

Who to refer: Patients: with symptoms suggestive of either a spinal cord lesion (subacute combined degeneration or peripheral neuropathy) or visual (optic neuropathy) same day emergency admission not responding haematologically to B12 replacement therapy (where folate and iron stores have been checked and are normal) with suspected malabsorption or disease of the terminal ileum should be referred to Gastroenterology with neurological symptoms should be discussed with Neurology if advice required

In order to differentiate the cause for pain in the ball of the foot diagnostic Ultrasound and 3D gait analysis may be performed by Dr

Our scores are based on: We also make a note of the size and shape of the tablet or capsule, and alert you to any that are particularly large or small