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Decisions at this level carry real consequences for millions of lives, and they demand not only leadership, but a profound respect for evidence, expertise, and the complexity of medicine

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Information for Patients Patients with pernicious anemia should be informed that they will require monthly injections of vitamin B12 for the remainder of their lives

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[1] If you experience persistent or concerning symptoms after starting B12 supplements, particularly skin changes or gastrointestinal issues, it is advisable to discuss these with your GP rather than assuming they are directly caused by vitamin excess