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diagnosis management cobalamin deficiency fatigue nutrition vitamin
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... : IV Fe > PO FE ... IV FE formulations ... (B12, MMA) for ... /other causes •
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... skin pallor • GI ... diarrhea related to IBD ... symptoms • P/E - GI ... consider IM or IV
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