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Meticulous lab work

In fact, some studies have shown that a non-eating drinker's BAC can be as much as three times higher than a similar drinker who has eaten prior to consuming alcohol

Intern Med J 2015;45:409-16

Articles in the newsletter Pulse aimed at practising GPs have been largely positive, but the comments underneath sadly often reflect the dinosaur-type attitudes to B12 deficiency that some of our members experience in interactions with their GP

The prevalence of B12 deficiency in those older than 60 years is between 10% and nearly 20%.7,8 Because multiple causes can coexist in elderly patients, including poor absorption, protracted metformin use, and reduced dietary intake, these patients have the greatest risk for B12 deficiency and should be carefully monitored for signs of deficiency