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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

Digestive problems : The removal of a portion of the digestive tract may cause changes in bowel movements and digestion

If youre not consuming enough vitamin B12, it can contribute to premature hearing loss and accelerate the rate at which your hearing declines

Monitor oxygen saturation by pulse oximetry