Only clinical study designs (S)randomised controlled trials (RCTs), non-RCTs, cohort, or case-control studieswere included
If any signs of injection site infection develop (increasing redness, warmth, swelling, or pain), discontinue use and consult a healthcare provider
Who to refer: Patients: with symptoms suggestive of either a spinal cord lesion (subacute combined degeneration or peripheral neuropathy) or visual (optic neuropathy) same day emergency admission not responding haematologically to B12 replacement therapy (where folate and iron stores have been checked and are normal) with suspected malabsorption or disease of the terminal ileum should be referred to Gastroenterology with neurological symptoms should be discussed with Neurology if advice required
Anemia Irritability Depression Lack of energy Pale skin Shortness of breath Tingling sensations in hands or feet Balance problems Whats super important to also note is that if you have issues with high caffeine use or poor sleep, you cant fix that with B12
Ring 999 if you think you are having a heart attack