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If pernicious anaemia is suspected, a test for anti-intrinsic factor antibody should also be undertaken

Groups vulnerable to these deficiencies include individuals dealing with obesity, impaired nutrient absorption, renal issues, proton pump inhibitor (PPI) users, elderly individuals with elevated Clinical Frailty Scores, women, taller individuals, and post-bariatric surgery patients, especially those lacking postoperative care [3, 43,44,45]

The rubber stopper should be cleaned with alcohol before each access, and sterile technique should be maintained throughout the withdrawal process

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