According to the NICE Clinical Knowledge Summary (CKS) and the British National Formulary (BNF) , the standard treatment for B12 deficiency without neurological symptoms involves: Hydroxocobalamin 1 mg intramuscularly three times weekly for two weeks Followed by maintenance doses of 1 mg every three months For patients with neurological symptoms (such as paraesthesia, numbness, cognitive changes, or gait disturbances), more intensive treatment is required: Hydroxocobalamin 1 mg intramuscularly on alternate days until no further improvement occurs Followed by 1 mg every two months for maintenance Pernicious anaemia , an autoimmune condition where the body cannot produce intrinsic factor, requires lifelong treatment
Reducing by 50-100mcg often resolves these issues while maintaining effectiveness
IV Therapy: For an ultimate wellness boost, our team can administer B12 alongside a Myers Cocktail or glutathione IV therapy to maximize hydration and immune support
Chronic fatigue, irregular sleep, mood swings, cognitive decline, are nerve issues all symptoms of B-12 deficiency