Principales sources alimentaires : Abats : foie de veau (60 100 g/100 g), foie de buf, rognons Poissons et fruits de mer : maquereau, sardines, saumon, thon, hutres, moules (5 20 g/100 g) Viandes : buf, porc, agneau, volaille (1 3 g/100 g) Produits laitiers : lait, yaourt, fromages (0,3 1,5 g/100 g) ufs : 1 2 g par uf (principalement dans le jaune) Besoins quotidiens : Adultes : 2,4 g/jour Femmes enceintes : 2,6 g/jour Femmes allaitantes : 2,8 g/jour Personnes ges : apports identiques, mais absorption souvent rduite (envisager une supplmentation) Vgtaliens et vgtariens : Les vgtaliens stricts doivent imprativement se supplmenter (complment quotidien de 500 2000 g ou hebdomadaire de 2000 g)
Comment: Commenters expressed concerns with the proposed 340B accelerated offset and its reduction on the CY 2026 proposed rate increase
NICE Clinical Knowledge Summaries recommend B12 injections for: Pernicious anaemia an autoimmune condition affecting intrinsic factor production Malabsorption syndromes including coeliac disease and inflammatory bowel disease Post-surgical states particularly following gastrectomy or ileal resection Strict vegan diets when oral supplementation proves inadequate, though oral cyanocobalamin is usually sufficient for dietary deficiency Clinical trials demonstrate that B12 injections rapidly improve haematological parameters and neurological symptoms when deficiency is confirmed through blood tests
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