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A Case for Routine Screening & Clinical Vigilance Given the clear risk in patients with ileostomies, ipouches, or urostomies, some experts advocate for: Annual symptom screening (regardless of B12 lab results) Routine B12 testing at baseline and periodically thereafter Low threshold for initiating treatment in symptomatic individuals Trial of injections when levels are borderline or symptoms suggest deficiency Final Thoughts: Bringing B12 Out of the Shadows As healthcare providers, patients, and support teams, it is time to bring B12 to the forefront, not just on test reports , but in clinical conversations, patient education, and long-term care planning

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Advertisement The most common risk of getting a COVID vaccine is experiencing unpleasant but harmless side effects