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They work best alongside disciplined diet and exercise protocols
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Patients should be aware that if they experience concerning symptoms whilst taking B12 supplements, they should discuss this with their GP and report suspected adverse reactions via the MHRA Yellow Card Scheme (yellowcard.mhra.gov.uk)
Importantly, this case underscores that up to 25% of patients with pernicious anemia may present with neurological symptoms without anemia or macrocytosis, emphasizing the need for heightened clinical suspicion and timely diagnostic testing, even when vitamin B12 levels are borderline
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