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This hernia may also occur for other, less common reasons, such as injury to the diaphragm area after a traumatic event or surgery
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A GP or obesity specialist can assess eligibility and prescribe within a structured clinical pathway that includes monitoring and follow-up
B12 supplementation in elderly patients with confirmed deficiency typically takes two main forms in the UK: Oral tablets (cyanocobalamin) Intramuscular injections (hydroxocobalamin, the standard form in the UK) NICE Clinical Knowledge Summary guidance recommends investigating B12 deficiency in older adults presenting with unexplained anaemia, neuropathy, cognitive impairment, or glossitis
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