Vitamin B12 Deficiency

General Medicine

Low serum B12 (<200 pg/mL) causing macrocytic anaemia ± neuropathy.

Risk factors

  • Vegan diet
  • Pernicious anaemia
  • Metformin, PPI long-term
  • Ileal resection, Crohn

History taking

  • Fatigue, glossitis, paraesthesia
  • Memory issues, ataxia

Examination

  • General: vitals, pallor, icterus, oedema, lymphadenopathy
  • Focused system examination
  • Look for red-flag findings

Red flags

  • Haemodynamic instability
  • Rapid deterioration
  • Severe pain or new neurological deficit

Differential diagnosis

  • See differentials section per chief complaint

Recommended investigations

  • Serum B12, MMA / homocysteine if borderline
  • Anti-IF antibodies
  • CBC + smear

Diagnosis

  • Clinical diagnosis supported by targeted investigations

Initial treatment / management

  • Treat underlying cause
  • Symptomatic relief
  • Patient education

Drug therapy

  • IM hydroxocobalamin as above
  • Oral cyanocobalamin 1–2 mg OD if dietary

Follow-up advice

  • Review in 2–4 weeks or earlier if worsening
  • Monitor response to therapy and adverse effects

Patient counselling

  • Explain diagnosis and natural course in lay terms
  • Red-flag symptoms warranting urgent return
  • Adherence to medications and follow-up

Referral criteria

  • Refer if diagnostic uncertainty, complications, or failure of first-line therapy

Clinical pearls

  • Neurological symptoms can occur without anaemia

References

  • Harrison's Principles of Internal Medicine, 21e
  • NICE / WHO guidelines (current edition)

Educational outpatient guide — verify against local guidelines before clinical use.

WardRound

WardRound

Clinical Decisions in Seconds