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CPD can be undertaken through a variety of learning activities including instructor led training courses, seminars and conferences, e:learning modules or structured reading

Drop one dose level every 4 weeks (for example, from 10mg to 7.5mg to 5mg to 2.5mg)

Low energy Tingling sensation or numbness in hands or feet A swollen, red cracked tongue Mood changes Trouble concentrating and remembering things Megaloblastic anemia People at risk for Vitamin B12 Deficiency: People with a deficiency of intrinsic factor

Severe, persistent vomiting that prevents you from keeping down fluids for more than 24 hours risks dehydration and electrolyte imbalance