Report illegal sales or websites selling unlicensed medicines via the MHRA's dedicated enforcement reporting portal (gov.uk/report-problem-medicine-medical-device)
The NHS does not set an upper safe limit for B12 because harmful effects from excessive intake have not been definitively established
Red blood cells carry oxygen to the bodys tissues and remove carbon dioxide
They are a lower cost option that is also a much better experience

Manufactured for: Revised: November 2025 PACKAGE LABEL.PRINCIPAL DISPLAY PANEL Vial Label - 1 mL: NDC 87188-111-01 Rx Only Cyanocobalamin Injection, USP 1,000 mcg/mL For Intramuscular or Subcutaneous Use Only 1 mL Multiple-Dose Vial Carton Label - 1 mL: NDC 87188-111-90 Rx Only Cyanocobalamin Injection, USP 1,000 mcg/mL For Intramuscular or Subcutaneous Use Only 25 X 1 mL Multiple-Dose Vials Vial Label - 10 mL: NDC 87188-112-01 Rx Only Cyanocobalamin Injection, USP 10,000 mcg/10 mL (1,000 mcg/mL) For Intramuscular or Subcutaneous Use Only 10 mL Multiple-Dose Vial Carton Label - 10 mL: NDC 87188-112-01 Rx Only Cyanocobalamin Injection, USP 10,000 mcg/10 mL (1,000 mcg/mL) For Intramuscular or Subcutaneous Use Only 1 x 10 mL Multiple-Dose Vial Vial Label - 30 mL: NDC 87188-113-01 Rx Only Cyanocobalamin Injection, USP 30,000 mcg/30 mL (1,000 mcg/mL) For Intramuscular or Subcutaneous Use Only 30 mL Multiple-Dose Vial Carton Label - 30 mL: NDC 87188-113-01 Rx Only Cyanocobalamin Injection, USP 30,000 mcg/30 mL (1,000 mcg/mL) For Intramuscular or Subcutaneous Use Only 1 x 30 mL Multiple-Dose Vial More about cyanocobalamin Check interactions Compare alternatives Pricing & coupons Reviews (31) Drug images Side effects Dosage information During pregnancy Drug class: vitamins

For example, people who maintain a vegetarian or vegan diet, people with absorption disorders, and those taking prescription meds like Metformin, Proton Pump Inhibitors (PPIs), and H2 blockers like Pepcid are often at greater risk