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B12 deficiency has a multifaceted relationship with diabetes

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If your diet is low on foods that contain vitamin B12 or your body cannot appropriately digest those foods, a healthcare professional may recommend that you take an oral supplement each day

Primary care investigations Full history including menstrual history, GI history, medications, family history, dietary history Examination including abdominal exam looking for masses Ferritin If ferritin normal check iron and transferrin on a fasting blood sample If iron deficiency confirmed check coeliac screen Urinalysis for blood British Society of Gastroenterology Guidelines for the management of iron deficiency anaemia: