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Additional gut health testing: In cases of a persistent or unexplained B12 deficiency, your primary care provider may recommend endoscopy, colonoscopy, or tests for celiac or Crohns disease

4.4 Special warnings and precautions for use NEUROBION AMPOULES should not be given for Vitamin B12 deficiency before a diagnosis has been fully established, because of the possibility of masking symptoms of subacute degeneration of the spinal cord

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For gastric banding patients, annual blood tests are generally recommended as a minimum once stable, covering: Serum vitamin B12 Full blood count (to detect macrocytic or megaloblastic anaemia) Serum ferritin and iron studies Vitamin D, calcium, and parathyroid hormone (PTH) Folate Thyroid function and other metabolic markers as clinically indicated The specific tests and frequency recommended may vary according to the procedure performed, individual clinical circumstances, and local protocols
