2964 results
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... Etiology: • Vit B12 ... who don't take B12 ... level (< 200 pg ... Deficiency #diagnosis #management
Medications for the Management of Anemia

TREATMENT OF ANEMIA
 - Cyanocobalamin/B12
 - Erythropoietin/epoetin alfa
 - Darbepoetin alfa
Medications for the Management ... Cyanocobalamin/B12 ... #Medications #Management
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
• BNP < 100 pg
Clinically Important Vitamins and Vitamin Deficiency States
Fat-soluble Vitamins: 
 • Vitamin A - Xerophthalmia, night blindness,
• Thiamine B1 ... • Riboflavin B2 ... gestation • Vitamin B12
Diagnosing Vitamin B12 and/or Folate Deficiency

It turns out that simply measuring serum levels of B12 or
Diagnosing Vitamin B12 ... serum levels of B12 ... with low normal B12 ... people with low B12 ... accumulate in B12
Causes of Vitamin B12 Deficiency - Cobalamin
Decreased Intake
Pancreas: Insufficiency
Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin B12 ... pylori infection, B12 ... BrighamChiefs #Vitamin #B12
Methylmalonic Acid and Homocysteine Levels in Vitamin B12 and Folate Deficiency
 • B12 Deficiency: MMA elevated,
Levels in Vitamin B12 ... Deficiency • B12 ... #Homocysteine #B12
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Monitor & correct B12 ... (B12, MMA) for ... symptoms even if wnl B12 ... Algorithm #diagnosis #management
Prevalence of Common Nutritional Deficiencies and Supplement Recommendations in Bariatric Patients 
Calcium, Vitamin B1 (thiamine), Vitamin
Calcium, Vitamin B1 ... thiamine), Vitamin B12
Metformin in Diabetic Kidney Disease
Immediate release:
 • Initial 500 mg or 850 mg once daily
 •
Monitor vitamin B12 ... risk of vitamin B12 ... pharmacology #algorithm #management