Vit B12 deficiency: a summary of NICE guidance

The interactive flowchart can be accessed here: https://1drv.ms/b/s!AiVFJ_Uoigq0mRYQ2Yw67rtg00TM?e=iKGhgL This episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE. My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode I will go through the recently published NICE guideline on vitamin B12 deficiency in adults, focusing on those that are relevant to Primary Care only. I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Tracks: 00:00 – Introduction and welcome 00:29 – Common symptoms and signs 01:32 – Vit B12 physiology 02:23 – Common risk factors 03:36 – Diagnosis 06:51 – Confirmed Vit B12 deficiency: investigations and management 09:30 – On-going review 11:48 – Auto-immune gastritis 13:28 – NICE visual summaries 17:04 – Interactive flow chart summary 17:21 – Thank you and good-bye There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: • Apple podcast: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 • Spotify: https://open.spotify.com/show/2kmGZkt1ssZ9Ei8n8mMaE0?si=9d30d1993449494e • Amazon Music: https://music.amazon.co.uk/podcasts/0edb5fd8-affb-4c5a-9a6d-6962c1b7f0a1/primary-care-guidelines?ref=dm_sh_NnjF2h4UuQxyX0X3Lb3WQtR5P • Google Podcast: https://www.google.com/podcasts?feed=aHR0cHM6Ly9mZWVkcy5yZWRjaXJjbGUuY29tLzI1ODdhZDc4LTc3MzAtNDhmNi04OTRlLWYxZjQxNzhlMzdjMw%3D%3D • Redcircle: https://redcircle.com/shows/2587ad78-7730-48f6-894e-f1f4178e37c3 There is a YouTube version of this and other videos that you can access here: • The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The NICE guideline “Vitamin B12 deficiency in over 16s: diagnosis and management” (NICE guideline NG239 can be found here: • https://www.nice.org.uk/guidance/ng239 The links to the resource “Oral vitamin B12 replacement: ongoing care and follow up” can be found here: • https://www.nice.org.uk/guidance/ng239/resources/visual-summary-ongoing-care-and-followup-for-vitamin-b12-replacement-pdf-13315996909 The B12 pandemic guidance by the British Society of Haematology can be found here: • https://apps.nhslothian.scot/refhelp/guidelines/haematology/b12deficiency/