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If the GP says that she doesn't have macrocytic anaemia so doesn't need this pattern of treatment, you could point out that NICE guidelines for B12 deficiency say that "Note: clinical features of vitamin B12 deficiency can occur without anaemia and without low serum levels of vitamin B12." cks.nice.org.uk/topics/anae https://i5.walmartimages.com/asr/eebe5e51-96bb-48a9-8c5b-91c6a9f21689.a98af6a3c61a352dc8a5b34f755de311.jpeg mg:5mg Not All B12 Injections Are Equal: What to Know Before Your Appointment – Gemma Montgomery Aesthetics appetite stimulant dog
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