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M.A & M.L 25-09-23 Society for Endocrinology free steroid emergency card and guidance Adrenal crisis | Society for Endocrinology For perioperative and obstetric management please discuss with the anaesthetic team and consult national guidance ( Management of glucocorticoids during the peri-operative period for patients with adrenal insufficiency | Association of Anaesthetists www.anaesthetists.org).

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However, its important to note that many doctors rule out B12 deficiency in earlier stages when macrocytosis is absent

People with diabetes, muscular degeneration, or Lou Gehrigs disease