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Clinical concerns What actions will you initiate when you see someone whose diagnoses include impaired gastric acidity and/or Intrinsic Factor, and prescribed B12 injections, will you - - check B12 levels and clarify status

The most effective prevention strategy combines adequate protein intake (1.0-1.2 grams per kilogram daily), comprehensive micronutrient supplementation from day one, gradual dose titration to moderate the rate of weight loss, maintaining a caloric floor, and baseline blood work to identify and correct pre-existing deficiencies

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Pan Afr Med J 2018;30:152