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Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin B12 ... : SIBO, Celiac disease ... pylori infection, B12 ... BrighamChiefs #Vitamin #B12
Demyelinating Diseases - Differential Diagnosis • Inflammatory: MS, ADEM, NMO, Paraneoplastic, Sjogren's, Polyarteritis nodosa, SLE •
Demyelinating Diseases ... Other: Vitamin B12 ... Demyelinating #Diseases
Clinically Important Vitamins and Vitamin Deficiency States Fat-soluble Vitamins: • Vitamin A - Xerophthalmia, night blindness,
Clinically Important ... • Thiamine B1 ... • Riboflavin B2 ... gestation • Vitamin B12
Dizziness - Differential Diagnosis Framework "Tell me what you mean by dizzy without using the word dizzy." Vertigo:
Neuritis, Meniere's Disease ... Cardiac: Valvular Disease ... neuropathy (DM, B12 ... Dysfunction: Parkinson's disease ... Coordination/Strength: B12
Red Blood Cell (RBC) Morphology Microcytic RBC: Pyridoxine deficiency, Thalassemia, Iron deficiency anemia, Chronic disease anemia (sometimes),
anemia, Chronic disease ... Macrocytic RBC: Vitamin B12 ... deficiency, Liver Disease ... Uremia, Liver disease ... Hemoglobin SS disease
Causes of Anemia with elevated Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm Normal Blood Smear •
- Low Serum B12 ... - Low Serum B12 ... • Pancreatic Disease ... • Rule out B12 ... • Liver Disease
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm Low Mean Corpuscular Volume (<80
Anemia of Chronic Disease ... Anemia of Chronic Disease ... Renal Disease, Liver ... Disease, Endocrinopathy ... (>100 fL) • B12
Anemia - Underproduction Diagnostic Algorithm - Iron deficiency anemia - Anemia of chronic inflammation - Anemia
chronic kidney disease ... - Vitamin B12
Causes of Low Vitamin B12 Levels Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people Autoimmune
of Low Vitamin B12 ... Levels Low vitamin B12 ... insufficiency, Crohn 's disease ... , coeliac disease
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
fatigue despite clinical ... Monitor & correct B12 ... (B12, MMA) for ... symptoms even if wnl B12 ... fatigue despite disease
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