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Additionally, if you notice reduced effects at a dose that previously worked well, degradation is a possible cause

18,26 Figure 2 Evaluation of Suspected Vitamin B12 Deficiency Treatment Vitamin B 12 deficiency can be treated with intramuscular injections of cyanocobalamin or oral vitamin B 12 therapy

Clinical Benefits: Supports immune system function and resilience against infection Essential for collagen synthesis and connective tissue repair Acts as a potent antioxidant, protecting cells from oxidative damage Supports neurotransmitter production and cognitive function Enhances absorption of non-haem iron May help reduce the duration and severity of fatigue Injectable Vitamin C bypasses gastrointestinal absorption limitations, delivering higher concentrations directly into the bloodstream

Vitamin B12 and folate deficiency can cause a wide range of problems, including: extreme tiredness a lack of energy pins and needles (paraesthesia) a sore and red tongue mouth ulcers muscle weakness disturbed vision psychological problems, which may include depression and confusion problems with memory, understanding and judgement Some of these problems can also happen if you have a deficiency in vitamin B12 or folate but do not have anaemia