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The administration of live vaccines is contraindicated in patients receiving immunosuppressive doses of corticosteroids
20 In the same year, Thakkar and Billa also compared the benefits of the different forms, and argued that methyl-B12 alone may not address the neurological complications in B12 deficiency that arise partly from the lack of adenosyl-B12
NHS approach to B12 deficiency: NICE Clinical Knowledge Summaries recommend investigating B12 deficiency in patients presenting with macrocytic anaemia, unexplained neurological symptoms, or risk factors including pernicious anaemia, gastrectomy, malabsorption disorders, metformin use, proton pump inhibitors, or nitrous oxide exposure
Take the First Step Back to Feeling Like Yourself If you think low B12 might be affecting you, dont ignore the signs
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