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Frequent monitoring and prompt treatment adjustments may be the key to preventing overcorrection

Non response to B12 injections should therefore necessitate re-evaluation and consideration of other diagnoses

A 2025 European Journal of Clinical Nutrition commentary on the NICE guideline argued that the diagnostic threshold and clinical awareness still need to be tightened further, especially around pernicious anaemia, which is still under-recognised in primary care

Niacinamide (B) in high pharmacological doses has less pregnancy data

The lower your level, the greater your frequency of necessary injections

Who May Benefit From Vitamin B12 Injections