Have the new guide-lines on B12 deficiency/ Pernicious Anaemia been published yet?

[wedgewood]

They have been so delayed. .

[Jillymo]

I'm not sure. 🤔

Pas has put a new page up for guidance........... pernicious-anaemia-society....

I think indeed they have. ......... remedy.bnssg.icb.nhs.uk/adu...

[wedgewood in reply to Jillymo]

Thank you Jillymo.

[Jillymo in reply to wedgewood]

Good morning,

I added to my first reply. 😘 🎺

Maybe not officialy yet Nice are still showing the old guidelines......

cks.nice.org.uk/topics/anae... 🤔

[bookish in reply to Jillymo]

Thanks for that. Had to chuckle at dementia screening and B12

'problems with memory, understanding and judgement (including as part of dementia screen, although a casual role of low vitamin B12 is not proven)'

think they might mean causal!

This was interesting too, never seen this low indicated before

'Anti-intrinsic factor antibodies should be tested if pernicious anaemia is suspected regardless of B12 level- may be found in up to 35% of cases of pernicious anaemia. Life-long replacement therapy is indicated.'

Cheers

[NOTI1 in reply to Jillymo]

Do you have any thoughts on how 'optimised' should be interpreted in the context of gp decision making?1.6.12 If the symptoms of the person having intramuscular replacement have not improved or they have new symptoms of vitamin B12 deficiency:

• ensure the frequency and dose of vitamin B12 injections are optimised

and

10 • agree a date for reassessment of the person’s symptoms.

[Jillymo in reply to NOTI1]

That's a difficult one to answer as it all depends on the Gps knowledge of how to treat and how flexible he/she is with regard to treatment !

The new guidelines are worth copying & keeping at hand........ nice.org.uk/guidance/gid-ng...

Sorry I cant help you further. 😘

[NOTI1 in reply to Jillymo]

I will definitely refer to the guidelines at my next appointment.

[Dancer57]

6th March as far as I know!!!!

[wedgewood in reply to Dancer57]

Thank you !

[Loupharm]

nice.org.uk/guidance/indeve...

They are still unpublished but 6th march is expected publication date

[wedgewood in reply to Loupharm]

Thank you .

[bookish in reply to Loupharm]

Happy Birthday to me!! Hope it happens and they help, rather than hinder, all of us.