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Comparison of sublingual vs
So far, so good
Advanced age is often associated with reduced muscle mass and regenerative capacity, perhaps due in part to less effective muscle stem cells
B12 B12 injections are commonly prescribed and often for many years, to fulfil 2 key functions - reverse B12 deficiency, especially if severe
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
I have seen a case of that in our clinic
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