Paramedics and EMTs Emergency medical personnel often insert IVs in high-pressure field conditions and are trained accordingly
Anti-parietal cell antibody is more sensitive (90%) but less specific (50%) for diagnosis of PA as it can also be found in other autoimmune diseases.29 39 On the other hand, anti-intrinsic factor antibody is less sensitive (50%) but more specific (98%), and its presence is almost diagnostic of PA.29 39 Schilling test, traditionally used to diagnose intrinsic factorrelated malabsorption, is now rarely performed
We know that macrocytosis is a very, very late stage of B12 deficiency and that severely deficient patients may not present with this sign, the administration of folic acid also masks macrocytosis by normalising the size of the blood cells
At the beginning of the treatment, 1 ml of vitamin B12 Wiedemann 1 mg/ml (corresponding to 1000 g cyanocobalamin) is administered twice a week in the first weeks after diagnosis Safety Warning Wiedemann Vitamin B12 1 mg/ml contains sodiumbut less than 1 mmol (23 mg) sodium per 1 mli.e
B vitamins and folic acid Vitamins and minerals
Link Sikiric P, et al
