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@@practicalgp most welcome sir 🙏

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Thank you for your kind words. I’m pleased that you found it helpful 🙏

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@@radhwanabdulla6806 Thank you very much for your support. It means a lot to me 🙏

Did you mention checking SaO2 at diagnosis and review?

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Thank you very much for your support and your kind words. It means a lot to me 🙏

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Thanks. You never know whether humour will work in these things!😅

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Thank you very much for your support. It helps a lot. 🙏

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Thank you very much for your comment. I really appreciate it 🙏

Thank you very much for your comment. I really appreciate it 🙏

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Thank you for your comment. I really appreciate it. The video on the full guidance on vitamin B12 deficiency is coming very soon. Stay tuned! 🙏

Thank you for your comment. Yes, it's a relatively new drug and not widely used in th UK either. It'll probably be better known after a few more months 🙏

Thank you for your comment. I really don't know much about that but there are Facebook groups that you can join facebook.com/share/2ZrqB5xLkAtWcXDm/?mibextid=K35XfP 🙏

@@practicalgp Thank you sir

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Thank you very much for your comment. It means a lot to me. I have often thought that audiovisual learning is useful in dyslexia and neurodivergence and your feedback is extremely helpful in that respect 🙏

Thank you nicely 😜. I really appreciate your support. No major changes from the previous guidance as such but they make references to the technology appraisals on SGLT2 inhibitors for heart failure which have changed relatively recently with dapaglifozin and empaglifozin being recommended for both HFrEF and HFpEF

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Thank you very much for your comment and request. I will look into it 🙏

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Thank you for your comment. Omeprazole is not typically associated with significantly elevated alkaline phosphatase levels. However, as with any medication, individual responses can vary and there have been rare reports of transient liver enzyme changes in some people taking omeprazole, meaning that some people may be more sensitive to medication effects. I am pleased that she is having further investigations, so that you can all put your mind at rest. There may be a simple explanation for this abnormality 🙏

Exact this happened to me. I’m increasing my protein intake and taking multi & zinc, b12.

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Thank you for your comment. Your readings are not concerning in principle but you should discuss all your results and your overall health with your doctor. They are in the best position to advise you 🙏

Thank you for your comment. I never looked at it the way that you have interpreted it and I now think that the wording that NICE has used is confusing. What they actually mean is that, if the CCB is not tolerated, then you stop it and substitute it with a thiazide-like diuretic. So you are giving the thiazide-like diuretic for their hypertension, not for the oedema. The reason why you would favour a thiazide-like diuretic over an ACEI or ARB is because in this group (age >55 and Afro Caribbean people), thiazide-like diuretics are more effective than ACEIs and ARBs. I hope that his makes sense 🙏

@practicalgp thank you Fernando! Clarifies and also useful to apply for exams - I am a reg x

@@glowaesthetics9801​​⁠Thank you! You can’t be the only one that interpreted it like that so I’m going to see if I can insert a little pop up window in the video clarifying the issue 🙏. Good luck with your exams 🤞