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Dr  Josep  Vidal-Alaball Department of General Practice www.cardiff.ac.uk/medicine/general_practice
Medicine’s Best Kept secret  (Lederle 1991)
Oral Vitamin B 12  for the treatment of Vitamin B 12  deficiency: A Systematic Review Vidal-Alaball J , Butler CC, Hood K, Cannings R, McCaddon A, Papaioannou, A   Cochrane Metabolic and Endocrine Disorders Group Orlando, October 2004
Background ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Patients on oral high-dose cyanocobalamin in Sweden 1990-2000 Norberg B. Oral high-dose cyanocobalamin – a contagious concept (editorial). Rondel 2001; 8.  URL:http://www.rondellen.net
Why change to oral Vit B 12  ? ,[object Object],[object Object]
Cost implications   ,[object Object],[object Object]
[object Object]
Is oral Vitamin B 12  as good as parenteral Vitamin B 12 Looking at the evidence
Search Strategies ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Results ,[object Object],[object Object],[object Object],[object Object]
Case Reports/Series ,[object Object],[object Object],[object Object],Controlled Clinical Trials ,[object Object]
Randomised Controlled Trials
RCTs ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Results
[object Object],[object Object]
[object Object],[object Object],[object Object],Limitations
Final thoughts ,[object Object],[object Object],[object Object],[object Object],[object Object]
Future ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Bolaman Z, et al. Oral Versus Intramuscular Cobalamin Treatment in Megaloblastic Anemia: A Single-Center, Prospective, Randomized, Open-Label Study.  Clinical Therapeutics  2003; 25 (12) : 3124-34.
 

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Oral Vitamin B12 for the treatment of Vitamin B12 deficiency: A Systematic Review

  • 1. Dr Josep Vidal-Alaball Department of General Practice www.cardiff.ac.uk/medicine/general_practice
  • 2. Medicine’s Best Kept secret (Lederle 1991)
  • 3. Oral Vitamin B 12 for the treatment of Vitamin B 12 deficiency: A Systematic Review Vidal-Alaball J , Butler CC, Hood K, Cannings R, McCaddon A, Papaioannou, A Cochrane Metabolic and Endocrine Disorders Group Orlando, October 2004
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Patients on oral high-dose cyanocobalamin in Sweden 1990-2000 Norberg B. Oral high-dose cyanocobalamin – a contagious concept (editorial). Rondel 2001; 8. URL:http://www.rondellen.net
  • 9.
  • 10.
  • 11.
  • 12. Is oral Vitamin B 12 as good as parenteral Vitamin B 12 Looking at the evidence
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.  
  • 28.  
  • 29. Bolaman Z, et al. Oral Versus Intramuscular Cobalamin Treatment in Megaloblastic Anemia: A Single-Center, Prospective, Randomized, Open-Label Study. Clinical Therapeutics 2003; 25 (12) : 3124-34.
  • 30.