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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

Once mixed keep refrigerated

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

This can make acne appear more persistent or harder to manage

Think of it as flipping a switch on fat cells that tells them to release their contents