💉 Understanding Vitamin Deficiencies

Vitamin deficiencies can affect energy levels, nerve health, digestion, immunity, wound healing and overall wellbeing. People living with a stoma, ipouch, fistula, IBD, strictures, bowel or urinary cancer, or those undergoing cancer treatments, may be at higher risk of certain deficiencies, including Vitamin B12, folate, iron, Vitamin D, and electrolytes.

Our Vitamin Deficiencies Clinic provides safe, evidence‑based assessment, monitoring and support, including advising or prescribing only when clinically appropriate and in line with national guidelines.

This service focuses on clinical need, safety, and appropriate medical oversight

💉 Vitamin B12 Deficiency – What You Need to Know

Vitamin B12 is absorbed in the terminal ileum — an area often affected by:

• Ileal resections

• Ileostomy formation

• Crohn’s disease

• Pouch surgery

• High‑output states

Symptoms of deficiency may include:

• Fatigue

• Tingling or numbness

• Memory changes

• Breathlessness

• Pale skin

Our clinic provides:

• B12 deficiency assessment

• Blood testing advice

• Review of symptoms and risk factors

• Advice on prescribing only when clinically appropriate

• Safe administration of B12 injections or oral supplementation

• Ongoing monitoring

All prescribing follows national and international guidance, clinical need, and professional standards.

💉 Why Does Vitamin Deficiency Monitoring Matter?

Digestive and urological conditions can affect how nutrients are absorbed, stored or used. Surgery, inflammation, altered anatomy, high output, and certain medications can also contribute to deficiencies.

Our clinic helps you:

• Understand your nutritional status

• Identify deficiencies through appropriate testing recommendations

• Receive safe, clinically‑indicated treatment

• Monitor symptoms and response

• Prevent complications linked to low vitamin levels

We work closely with colorectal, gastroenterology, oncology and nutrition teams to ensure your care is coordinated and safe.

💉 Who We Support

✔️ Stoma Patients

Risk factors include:

• Reduced absorption

• High output

• Altered terminal ileum function

• Dietary restrictions

✔️ iPouch Patients

Risk factors include:

• Reduced B12 absorption

• Bowel Frequency

• Pouchitis

• Dehydration

✔️ Fistula Patients

Risk factors include:

• High output causing nutrient loss

• Chronic inflammation

• Reduced oral intake

✔️ IBD (Crohn’s & Ulcerative Colitis)

Risk factors include:

• Inflammation

• Malabsorption

• Medication effects

• Dietary limitations

✔️ Strictures

Risk factors include:

• Restricted diet

• Difficulty tolerating certain foods

• Reduced nutrient intake

💉 What We Offer

1️⃣ Clinical Assessment

We review:

• Symptoms

• Medical & Surgical history

• Medication use

• Dietary intake

2️⃣ Diagnostic Testing Recommendations

Including:

• Vitamin B12

• Folate

• Iron studies

• Vitamin D

• Electrolytes

• Full blood count

3️⃣ Safe, Appropriate Treatment

If a deficiency is confirmed, we may offer:

• Clinically‑indicated supplementation

• B12 injections when appropriate

• Oral supplementation where suitable

• Dietary advice to support long‑term stability

4️⃣ Monitoring & Follow‑Up

We track:

• Symptom improvement

• Blood levels

• Side effects

• Long‑term stability

5️⃣ Lifestyle & Nutrition Support

Including:

• Food sources of key vitamins

• Hydration strategies

• Managing high output

• Supporting absorption where possible

💉 Why Choose Our Vitamin Deficiencies Clinic?

• Tailored, practical advice, safe, evidence‑based care

• No commercial promotion or product advertising

• Specialist nurses experienced in complex digestive and urological conditions

• Integrated care with colorectal, gastroenterology and oncology teams

• Clear referral pathways when medical or surgical input is required

• Enhanced comfort, confidence, and quality of life

• Compassionate, patient‑centred care