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
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Ans: Injectable Vitamin B12, or cyanocobalamin injection, is the better choice when a pet has gastrointestinal problems that make it hard for the body to absorb nutrients properly
Cycling: 8 Weeks On, 8 Weeks Off Run 300 mcg daily (5 on / 2 off) for 8 weeks, then take 8 weeks off
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6: Emideltide Proposed use: Opioid withdrawal, chronic insomnia, narcolepsy Proposed form: Subcutaneous injection No
