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Additional symptoms include poor balance, confusion, difficulty remembering, and depression

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Other risk groups include older adults, pregnant women, people taking metformin or long-term acid-suppressing medications (PPIs, H2 blockers), those with conditions affecting the gastrointestinal tract (pernicious anaemia, Crohn's disease, coeliac disease), and individuals who have undergone gastric or ileal surgery

PAS is supporting research to explore more flexible and less resource-intensive methods, including: Self-Administration : Advocating for more patients (if they are willing) to be taught how to administer their own injections safely at home, reducing reliance on GP appointments