Any malabsorptive syndromes, eg, Pancreatic insufficiency, BAM |
▸ Check vitamin D, trace elements (selenium, copper and zinc) and INR (for vitamin K). ▸ If deficient: start appropriate supplementation and recheck levels in 3 months ▸ Request yearly monitoring via GP.
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Short bowel syndrome |
▸ Check vitamin D, trace elements (selenium, copper and zinc) and INR (for vitamin K). ▸ Spot urine sodium. ▸ If deficient: start appropriate supplementation and recheck levels in 3 months ▸ Request yearly monitoring via GP.
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If bleeding |
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When on a bile acid sequestrant |
▸ Check triglyceride levels annually. ▸ Check vitamin D and INR (for vitamin K) annually. ▸ Check trace elements (selenium, zinc, copper) annually.
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Cortisol level |
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Severe acute abdominal pain |
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Neuroendocrine tumour |
▸ Urinary 5HIAA. ▸ Chromogranin A+B.
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