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Fast-forward to 2005 when Martyn Hooper, diagnosed with Pernicious Anaemia, founded the Pernicious Anaemia Society

The diagnostic process typically involves: Clinical history taking, focusing on symptoms (fatigue, neurological changes, dietary habits) Physical examination for signs of anaemia or neurological impairment Blood tests including full blood count, serum B12, and often folate levels Additional investigations such as intrinsic factor antibodies or parietal cell antibodies if pernicious anaemia is suspected For borderline results, additional tests like holotranscobalamin (active B12) may be considered NICE guidance recommends that treatment should commence based on clinical presentation if neurological symptoms are present, without waiting for laboratory confirmation, as delays can result in irreversible nerve damage

After two hours of not drinking, it would fall to .05then to .035 after three hours, to .02 after four hours, and to .005 after five hours

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