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A GP or specialist can assess underlying health conditions that may increase the risk of adverse effects and can advise on licensed, evidence-based alternatives available through NHS or private prescribing pathways

In patients with suspected B12 deficiency, initial lab tests should include a complete blood count (CBC) with a peripheral smear and serum B12 and folate levels

380050) or a low-fat (lean) diet (LD

You can also get it on the NHS, although the criteria for getting it is different from private services

Dosage, Concentration, Route of Administration Dosage : Seek advice from an appropriately qualified and licensed physician, medical director, or other healthcare provider Concentration : 2mg/ml Route of Administration : IV/IM/SQ Resources: Precautions/Side Effects Hydroxocobalamin injections are contraindicated in people with low blood potassium or allergies to vitamin B12 or cobalt