NHS approach to B12 deficiency: NICE Clinical Knowledge Summaries recommend investigating B12 deficiency in patients presenting with macrocytic anaemia, unexplained neurological symptoms, or risk factors including pernicious anaemia, gastrectomy, malabsorption disorders, metformin use, proton pump inhibitors, or nitrous oxide exposure
It combines Vitamin B1 and B12 for a complete fix for certain health issues
Long-term results depend on overall behavior change, not just injection use
For people with absorption problems, such as pernicious anaemia, injections are medically necessary as oral supplements will not be absorbed effectively
others might provide an injection based on symptoms alone