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Deficiency can lead to anaemia, memory issues, and low mood, but with regular injectionstypically every 2 to 3 months depending on your conditionyou can restore and maintain healthy levels
Metformin, the first-line oral glucose-lowering agent recommended by NICE for type 2 diabetes (NG28), is well established as a cause of B12 malabsorption
Chronic or recurring injury patterns may warrant ongoing maintenance protocols at reduced doses
Cyanocobalamin injections, though less commonly used in the UK than hydroxocobalamin, can similarly raise serum concentrations
Pale or Bluish Skin : Skin may also be cold or clammy to the touch
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