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Weiss, N., Pietrzik, K., and Keller, C

Primary care investigations Full history including menstrual history, GI history, medications, family history, dietary history Examination including abdominal exam looking for masses Ferritin If ferritin normal check iron and transferrin on a fasting blood sample If iron deficiency confirmed check coeliac screen Urinalysis for blood British Society of Gastroenterology Guidelines for the management of iron deficiency anaemia:

If the vitamin B12 deficiency is there, it can lead to taking shots for more than two to three months for the rest of your life

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People may be deficient in vitamin B12 if they dont eat animal products, or if their body does not absorb it well naturally