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Many patients have successfully learnt to self-administer B 12 by intramuscular injection, which reduces both healthcare costs and burden on GP practices, and allows people who are B 12 deficient to optimise their treatment regimen.6566 Case example A man in his 70s presents with a nine month history of difficulty walking and climbing stairs, numbness and pain in his lower limbs, and paraesthesia in his hands

No, it shouldnt be with diets the way they are, gastric banding surgery, hydrochloric acid inhibiting drugs like Somac and nexium being used widely that will inhibit B12 absorption and an ageing population we should be checking everyone of these people

Limitations of Anecdotal Evidence Community experience has fundamental limitations that deserve acknowledgment

A., Pane, A