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GPs can prescribe B12 injections following appropriate investigation, which should include: Full blood count to identify macrocytic anaemia Serum B12 and folate levels to confirm deficiency (using laboratory-specific reference ranges) Methylmalonic acid and/or homocysteine when B12 results are borderline Intrinsic factor antibodies if pernicious anaemia is suspected Additional tests depending on clinical presentation (e.g., thyroid function, coeliac serology) When both B12 and folate deficiency are present, B12 should be replaced before folate to avoid precipitating subacute combined degeneration of the spinal cord

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Demonstrating Success in Real-World Applications In a recent case study conducted at a power plant in Chile, a demonstration unit operated continuously for 60 days, achieving an impressive 93.5% water recovery

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Finally, psychosocial support is essential to manage the cognitive and emotional challenges associated with MS