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If you are already aware that you cannot tolerate folic acid, you might need an alternative form of folate such as methylfolate or folinic acid (vitamin B9) to prevent the risk of NTD during your pregnancy
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GPs will evaluate: Detailed symptom history Dietary habits and restrictions Medical history, including gastrointestinal conditions Current medications Family history of pernicious anaemia or autoimmune conditions NICE guidance emphasises that treatment should not be delayed whilst awaiting test results if clinical suspicion is high, particularly when neurological symptoms are present
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