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Intramuscular (IM) hydroxocobalamin is the recommended first-line treatment for pernicious anaemia in the UK, as advised by NICE and the British Society for Haematology
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The only problem is that B12 is not that easily found in food very few foods are B12-rich and they are essentially meat, eggs, and fermented foods
Who else is at higher risk for low B12 Several common factors add to metformins effect on B12
Researchers should add one compound at a time, assess tolerance, and avoid the temptation to implement complex protocols immediately
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