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This claim has been levied against keto and paleo and contends that a diet based entirely (or almost entirely) on meat and protein bucks basic evolutionary logic

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This is a medical emergency call 999 or go to A&E immediately

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Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months