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For people who do need injected vitamin B12, it may be possible to consider self-injection to reduce the workload for primary care teams. He also explained that when it comes to people with low/borderline readings in association with no or vague symptoms, many GPs will err on the side of caution and recommend vitamin B12 treatment because the risks from under-treatment will be much higher than from over-treatment

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Although taking these meds doesnt automatically equal deficiency, your doctor should keep an eye on your B12 levels, especially if youve been taking acid-blockers for longer than a year or metformin for more than four months, according to an article in the journal, American Family Physician (9)

Additionally, the proposed exclusion policy would not automatically result in cost measure exclusion