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This response to the intramuscular vitamin injection supports the notion that there is metabolic evidence of vitamin deficiency and it is common in the elderly, even in the presence of normal vitamin levels

Consider a B complex supplement if: Your diet is generally poor or restrictive, potentially lacking in multiple B vitamins

If you can't find the local guidelines online, best bet is probably to submit a FOI (Freedom of Information) request to your ICB/Health board asking which B12 deficiency guidelines they are using and for a link to or copy of them

Avoid repeated freeze-thaw cycles, direct light, and heat exposure

Please consult with our team for individualized recommendations.