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md:vitb12deficiency
Vitamin B12
- aka cobalamin
- important for cellular metabolism - DNA synthesis, methylation; mitochondria metabolism
- classical pernicious anaemia with megaloblastic anemia uncommon
- exact definition of deficiency contentious .. incidences 2.5 - 25%
- vulnerable patient groups: vegan elderly female, pregnancy, gastric bypass with DM on metformin
- classically treated with IM B12, oral 1g a day also works well
- blood tests: B12, methylmalonic acid/ homocysteine
- presents with hematological, neurological and psychiatric symptoms
Questions
- How common is B12 deficiency in carpal tunnel syndrome/ patients with neurological symptoms?
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- Created 2020-11-29
md/vitb12deficiency.txt · Last modified: 2020/11/29 00:34 by admin
