Jul

1

2022

What history should I ask about in a patient with suspected vitamin B12 deficiency?

By William Aird

  • Is the patient vegan or vegetarian, or otherwise anorexic with poor food intake?
  • Is there a personal or family history of autoimmune disorders?
  • Is there a history/symptoms of glossitis or mouth ulceration?
  • Is there a history of neurological symptoms, for example parasthesias or unsteady gate?
  • Is there a history/symptoms of malabsorption or chronic pancreatitis?
  • Is there a history of stomach surgery, bariatric surgery or small bowel resection?
  • Does the patient take metformin or proton pump inhibitor?

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