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Once acclimated to B12 therapy, most individuals dont experience detox reactions or concerns of feeling worse after each B12 injection
Monitor for mild injection-site redness or systemic effects like headache
Additional risk factors include: Age over 60 years (reduced stomach acid production) Autoimmune conditions (thyroid disease, vitiligo, type 1 diabetes) Family history of pernicious anaemia Chronic alcohol consumption Diagnosis and Testing Diagnosis of vitamin B12 deficiency anaemia requires a combination of clinical assessment, laboratory investigations, and sometimes specialist testing
If you are unhappy with a change to oral treatment, it might be worth pointing out in any letter you write to GP that you have not given your informed consent for the change in treatment
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