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Description
If you're getting a cyanocobalamin (also present in oral and sublingual B12) that's more likely to cause negative reactions

Colchicine is one of a small number of drugs where new studies were done (for example, of drug interactions and re-evaluation of dosing) where the FDA has granted brand status to a manufacturer despite the unbranded form having long been available

The NHS treatment pathway and the 2024 NICE guideline both assume B12 injections are given in a clinical setting against a confirmed deficiency, not self-sourced and self-administered

However, the frequent and painful IM injections present a great burden for patients and their families, and subcutaneous (SQ) OHCbl administration has been suggested as an alternative parenteral route [9]

Be sure to consult with our professionals to determine the best treatment plan for you

"BSH Cobalamin and Folate guidelines" published 2014 NICE published a new B12 deficiency guideline in 2024 I have some doubts about this guideline but I think it's worth reading
