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25 Patients diagnosed with vitamin B 12 deficiency whose history and physical examination do not suggest an obvious dietary or malabsorptive etiology should be tested for pernicious anemia with anti-intrinsic factor antibodies (positive predictive value = 95%), particularly if other autoimmune disorders are present

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Treatment should not be delayed when a clinician suspects a serious neurological or haematological problem, but that urgent decision belongs with an appropriate healthcare professional

Patients should never share GLP-1 pens with others, even if the needle is changed, due to the risk of bloodborne pathogen transmission