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What Practitioners and Patients Should Prepare For The July 2026 PCAC meetings will produce recommendations not final decisions

GPs can prescribe B12 injections following appropriate investigation, which should include: Full blood count to identify macrocytic anaemia Serum B12 and folate levels to confirm deficiency (using laboratory-specific reference ranges) Methylmalonic acid and/or homocysteine when B12 results are borderline Intrinsic factor antibodies if pernicious anaemia is suspected Additional tests depending on clinical presentation (e.g., thyroid function, coeliac serology) When both B12 and folate deficiency are present, B12 should be replaced before folate to avoid precipitating subacute combined degeneration of the spinal cord

Qin D, Qi T, Li B, et al

Heres how: Antioxidant Properties : Glutathione can help mitigate oxidative stress, which has been linked to increased uric acid production

Tarhana, a traditional Turkish dried soup based on a fermented mixture of wheat flour and yoghurt, is prepared through lactic acid fermentation, initiated by yoghurt or sour milk