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In this study, participants were randomised to placebo ( n = 27) or a twice-daily capsule of 50 mg of thiamine, 20 mg of riboflavin, 100 mg of niacin, 163.5 mg of pantothenic acid, 30 mg of pyridoxine, 500 g of folate (B9), 500 g of cyanocobalamin, 500 g of biotin, 100 mg of choline and 500 g of inositol ( n = 35)

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minor injection site reactions usually resolve within days Sharps containers must be used for needle disposal and returned via GP practices, pharmacies, or local authority collection schemes Patients with neurological symptoms may require alternate-day injections initially before transitioning to maintenance dosing schedules Table of Contents What Are B12 Injections and Who Needs Them