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pernicious anaemia You have undergone gastric or bariatric surgery and require ongoing B12 support require active Vit B12 boost to help enhance energy levels and metabolism general health and wellbeing have malabsorption of Vit B12 due to metformin, proton pump inhibitors, H2 antagonists, anticonvulsants (Phenytoin, barbiturates and primidone) Note: Some vaccines require more than one dose for full protection

A cortisone injection relieves pain for anywhere from 6 weeks to 6 months

B12 has many functions in our body, so unfortunately a deficiency will give rise to a wide variety of symptoms, like brain fog, memory problems, cognitive impairment, insomnia, headaches, especially migraine, behavioural changes, learning problems, nominal aphasia, mood swings, irritability, depression, anxiety, hallucinations, delusions, psychosis, peripheral paraesthesia (pins and needles), numbness, neuropathic pains, poor balance, reduced vibration sense or proprioception (joint position sense), tinnitus, ataxia, taste impairment, sometimes myelopathy, fatigue, anaemia (either with larger red blood cells, or with normal size of the red blood cells when there is also iron deficiency), other reduction in blood cells, abdominal complaints, malabsorption, failure to thrive, weight loss, diarrhoea, hyperpigmentation, glossitis, (aphthous) stomatitis, infertility, urinary tract infections, joint and muscle pain, muscle weakness, spasticity, seizures, cardiomyopathy, urinary and/or faecal incontinence, postural hypotension/dizziness, erectile dysfunction, to name a few

B12 deficiency has been reported to be associated with an increased risk and severity of viral infections [59]