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Conclusions The publication of the 2024 NICE guidelines on B 12 deficiency represents progress but falls short by proposing to rename pernicious anaemia with autoimmune gastritis. This change does not adequately address the distinct nature of PA as an advanced stage of AIG, characterised by IF deficiency requiring lifelong B 12 treatment

IV therapy is not a substitute for emergency care

Timing and effect : demonstrates a ceiling effect, with no added benefit and potential weakness at higher doses

No Substitute for Time: Just like with milk, coffee, or cold showers, water is not a substitute for the time required for the body to naturally process and eliminate alcohol