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Figure 1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency* and/or Non-specific** or Specific † Symptom of B 12 Deficiency TOP Management Treatment In suspected B 12 deficiency, supplement both B 12 and folate

Low Red Blood Cell Count

mg:10mg X 10pk

Referral thresholds are broadly guided by NICE but may vary according to local NHS Integrated Care System (ICS) policies