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Medical conditions affecting absorption warrant particular attention : Pernicious anaemia : an autoimmune condition destroying gastric parietal cells, requiring lifelong B12 injections Gastrointestinal surgery : particularly gastric bypass, gastrectomy, or terminal ileum resection Inflammatory bowel disease : Crohn's disease affecting the terminal ileum impairs absorption Coeliac disease : untreated disease damages the small intestine, reducing B12 uptake Medication use : long-term metformin therapy (MHRA safety alert) or nitrous oxide exposure Symptoms suggesting possible B12 deficiency include : persistent fatigue, weakness, paraesthesia (pins and needles) in hands or feet, glossitis (sore, red tongue), mood changes, memory problems, or unexplained anaemia

We are currently in an internal evaluation phase, reviewing the published research and running a structured internal protocol with our clinical team

Over the last several years, vitamin B12 injections have become popular among healthy people who do not appear to have a deficiency

It is not intended for human consumption, therapeutic use, or as a food or drug product

Dehydration, however, can impair these processes, leading to a slower metabolic rate and prolonged presence of alcohol in the body

Who should get a shot and who should avoid it