Family history of pernicious anaemia. I’ve had various symptoms for a long time. Bloods are normal. GP won’t treat for B12 deficiency despite being symptomatic. Referral to mental health team 🙄 Can’t find guidelines regarding treatment. Would anyone be kind enough to point me in the right direction? Based in Scotland
Thanks in anticipation
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Howzer
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There are no real national guidelines. The British Committee on Standards in Haematology say - onlinelibrary.wiley.com/doi...
1 The clinical picture is the most important factor in assessing the significance of test results assessing cobalamin status because there is no ‘gold standard’ test to define deficiency.
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4 In the presence of discordance between the test result and strong clinical features of deficiency, treatment should not be delayed to avoid neurological impairment.
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