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When patients feel depleted, they are more likely to abandon their plan or slip back into habits that do not support their goals

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Patients seeking B12 testing or treatment should consult their GP, who can arrange appropriate blood tests (serum B12, full blood count, folate, and if indicated, intrinsic factor and parietal cell antibodies) and prescribe treatment if deficiency is confirmed

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Getting to grips with these helps explain why a shortfall can be so disruptive to your day-to-day life

Management of enterocutaneous fistula: Outcomes in 276 patients