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Revised Date: January 18, 2023 Recommendations and Topics Scope Key Recommendations Background Epidemiology Patient Risk Factors Associated with B 12 Deficiency Patient Risk Factors Associated with Folate Deficiency Prevention Diagnosis Management Ongoing Care References Resources Appendix A: Dietary sources of cobalamin Scope This guideline covers the primary care investigation and management of cobalamin (vitamin B 12 or simply B 12 ) and folate deficiency in adults

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Sublingual Tablets or Drops: You place these under your tongue, allowing the B12 to be absorbed directly into the rich network of blood vessels there, completely bypassing the digestive system

Available from: deficiency&search=vitamin%20b12%20deficiency%20gatric%20resection&topicRef=7155&anchor=H1540931056&source=see_link#H1540931056 TOP Abbreviation Diagnostic code Vitamin B 12 : 92450 Folate: 281.2 Associated Document List of contributors (PDF, 59KB) Practitioner Resources RACE: Rapid Access to Consultative Expertise Program www.raceconnect.ca RACE means timely telephone advice from specialist for Physicians, Medical Residents, Nurse Practitioners, Midwives, all in one phone call

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The absence of IGF-1 elevation carries important safety implications