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Our GPs training is incomplete, they have not been given all the information required to treat patients with B12 deficiency correctly

NICE Clinical Knowledge Summaries recommend B12 injections for: Pernicious anaemia an autoimmune condition affecting intrinsic factor production Malabsorption syndromes including coeliac disease and inflammatory bowel disease Post-surgical states particularly following gastrectomy or ileal resection Strict vegan diets when oral supplementation proves inadequate, though oral cyanocobalamin is usually sufficient for dietary deficiency Clinical trials demonstrate that B12 injections rapidly improve haematological parameters and neurological symptoms when deficiency is confirmed through blood tests

Research shows that only half of orally consumed B12 (tablet form) is actually utilised in the body

We also suggest avoiding heavy alcohol consumption immediately after your visit, as alcohol can stress the liver and interfere with how your body processes the new nutrients

The longer needles create more significant micro-injury requiring extended recovery