Always tired. Get out of breath easily. Headaches. Apathy Tearful. Low mood. Memory loss. Difficulty finding words. Difficulty with spelling and addition. Clumsiness. Always hot and sweaty. Hair falling out. Aching joints. Long, heavy periods. Pins and needles in foot. Numb area on thigh. Tendon problems (Achilles and wrists). Constipation/ loose stools. Palpitations. Mouth Ulcers.
Grandmother had goitre, aunt has pernicious anaemia and sister has Gilberts syndrome.
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sbrads
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The flowchart makes it clear that a patient who is symptomatic for B12 deficiency should have an IFA (Intrinsic Factor Antibody) test and start initial B12 treatment before results of IFA test are known.
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