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Supporting dietary intake alongside supplementation is important for optimal pregnancy health
If you experience troublesome symptoms whilst taking self-initiated B12 supplements, temporarily discontinuing them whilst awaiting GP review is reasonable
Clinical assessment and full blood count showing macrocytic anaemia are also important, though neurological symptoms can occur without haematological changes
These include serious infection, uremia or renal failure, drugs with bone marrow suppression properties (e.g., chloramphenicol), or concurrent undiagnosed folic acid or iron deficiency anemia
What to eat in Pernicious Anemia
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