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Pernicious anemia (PA) represents such a condition

The urge to jump to a higher dose faster is understandable, but the titration schedule is designed to balance efficacy with tolerability

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All while screaming and panicking

As vitamin B12 seems to be better absorbed on an empty stomach (or better yet, acidic environment), you should try to wait for a few hours after having your evening meal before taking them

NICE guidance on obesity (CG189) and associated quality standards emphasise the importance of structured follow-up for patients who have undergone bariatric procedures, including regular nutritional blood tests and access to dietetic support