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Patients seeking B12 testing or treatment should consult their GP, who can arrange appropriate blood tests (serum B12, full blood count, folate, and if indicated, intrinsic factor and parietal cell antibodies) and prescribe treatment if deficiency is confirmed

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It is an advanced procedure, given the proximity of the lungs and the potential complication of lung puncture

Niacin-Induced Liver Failure September 19, 2024 Be aware of the risk of liver injury from use of very high dose niacin, as recently reported in an otherwise healthy, young woman who was taking niacin to manage anxiety and depression