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When to Seek Medical Advice and Long-Term Nutritional Follow-Up Patients should seek same-day assessment for new neurological symptoms such as paraesthesia or gait disturbance, and should attend annual blood tests as a minimum to monitor their full nutritional profile per BOMSS guidance

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While some commenters emphasized the importance of training, we did not receive specific feedback regarding the nature of the training that would be needed

Samson ME, Yeung LF, Rose CE, Qi YP, Taylor CA, Crider KS

So pernicious anemia may present initially as iron deficiency anemia, years before the B12 problem shows up