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B12 levels can decrease with age, as well as being lower in people who have undergone weight loss surgery, or suffer from multiple sclerosis, pernicious anaemia, Crohns or celiac disease
Intravenous and water-soluble oral and rectal enteric contrast should be administered
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10.1111/aji.12273 94

Next steps are dependent upon the institutional policies, considering the availability of next day follow up, and whether the ED provider is X-waivered for the prescription of buprenorphine
