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Diagnosing vitamin B 12 deficiency Your doctor will ask you about your diet and about any family history of anemia

Give patient information sheet appendix 1 GIVE ADVICE ON SICK DAY RULES and give STEROID EMERGENCY CARD ( For advice on how to safely withdraw long term steroids see patient information letter ) see page 5 GASTROPROTECTION: PPI (proton pump inhibitor) therapy should not be given routinely but should be considered for people at high risk of gastrointestinal bleeding or dyspepsia

Items must be returned unsoiled and unused and sent adequately packed and carriage paid.