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Patients with advanced HF, whether in atrial fibrillation or sinus rhythm, exhibit profound hypozincaemia and reduced Zn/Cu ratios due to activation of the adrenergic-angiotensin-aldosterone system and HF drugs (159)

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Vitamin B12 injections may be suitable for people who: Have a diagnosed B12 deficiency Feel constantly tired or low in energy Eat a vegan or vegetarian diet Have absorption issues such as pernicious anaemia Have difficulty absorbing B12 from food Want to improve their overall wellbeing Our pharmacist will discuss your symptoms to determine if the service is appropriate for you

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We describe these as areas of potential support, not promises, and we set expectations clearly before anyone begins