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You should contact your GP if you experience: Persistent fatigue or weakness that affects daily activities Tingling, numbness, or pins and needles in your hands or feet Difficulty with balance or coordination Memory problems or difficulty concentrating Mood changes, particularly low mood or irritability A sore, red tongue or recurrent mouth ulcers Unexplained shortness of breath or palpitations These symptoms warrant investigation, which typically includes blood tests to measure B12 levels (or active B12 depending on the laboratory), full blood count to assess for anaemia, folate levels, and potentially other tests such as anti-intrinsic factor antibodies if pernicious anaemia is suspected

Even if you are not in immediate pain, you should seek medical attention

If there is excessive alcohol in the blood, the liver cannot speed up the detoxification process

Its bacteriostatic properties help inhibit bacterial growth, allowing multiple withdrawals from a single vial when stored correctly

With SIBO, B12 made by the bacteria in the large intestine can migrate to the small intestine and get picked up by B12 transporters

Picking the volume that makes the dose hit 10 / 20 / 25 / 50 units removes a class of arithmetic errors