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Examples of long-acting insulin include Glargine, Degludec, NPH, and Detemir

If the GP says that she doesn't have macrocytic anaemia so doesn't need this pattern of treatment, you could point out that NICE guidelines for B12 deficiency say that "Note: clinical features of vitamin B12 deficiency can occur without anaemia and without low serum levels of vitamin B12." cks.nice.org.uk/topics/anae

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What to expect Energy benefits, especially in B12-depleted patients, are often felt within the first 1 to 2 weeks