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See these diagrams: Source: Clinical Procedures for Safer Patient Care by Doyle & McCutcheon

It seems wholly unacceptable that this might be happening in what must be the last few weeks before publication of the brand new NICE guidance: Vitamin B12 deficiency in over 16s: diagnosis and management In development [GID-NG10176] Expected publication date: 06 March 2024 nice.org.uk/guidance/indeve

Others, such as Vitamin D, are given separately for best absorption and safety

For example, long-term use of proton pump inhibitors (PPIs) or metformin can affect B12 absorption by altering stomach acidity or interfering with normal absorption processes