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Education into practice Practice How often do you evaluate B 12 deficiency related symptoms in individuals at high risk of developing this, such as vegetarians and vegans, or people with increased risk of B 12 malabsorption, such as individuals with type 1 diabetes or Hashimoto hypothyroidism

The 5 amino 1mq dose should be individualized based on body weight, metabolic goals, and individual response to treatment

Some patients on NHS maintenance feel symptoms return before the next dose, which is a conversation for your GP, not a reason to add private top-ups unannounced

The only way to get sober or clear alcohol from your system is to give your liver time to break down the alcohol