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NHS services must reflect, and should be coordinated around and tailored to, the needs and preferences of patients, their families and their carers

Given the high prevalence of clinical and subclinical B 12 deficiency in the elderly, the role of B 12 in myelination, and B 12 deficiency as a differential diagnosis of DCM, there is considerable rationale to conduct routine assessment of B 12 levels in patients with DCM

The improvements are usually gradual rather than an instant energy surge

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However, supplementation should only be given when recommended by a veterinarian

The function of platelets (clotting and prevention of bleeding) remains undisturbed in most cases, despite a low platelet count