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Seek immediate medical attention if these occur

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The additional substances tested include: Barbiturates like phenobarbital and secobarbital Benzodiazepines including Valium, Xanax, and Klonopin Methadone Methaqualone (though often replaced with oxycodone screening) Propoxyphene Again, no peptides

NICE notes that pernicious anaemia is the most common cause of Vitamin B12 deficiency in those aged 40-70, with an average onset age of 60 in white people and 50 in black people, although it can affect black women at a younger age