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similarly not universally available and has multiple causes Full blood count to identify macrocytosis or megaloblastic changes Blood film to assess red blood cell morphology NICE CKS guidance and the British Society for Haematology (BSH) recommend that clinical symptoms should always be considered alongside laboratory values, particularly in high-risk groups such as post-bariatric surgery patients

[5] For this reason, and depending on how soon after the onset of your symptoms that you visit your doctor, your doctor may decide that no action needs to be taken besides advising such basic support as rest, diet and use of non-steroidal anti-inflammatory drugs like ibuprofen for pain

The syringe size depends on the dose of B12 being administered