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The standard schedule is a starting point, not a strict rule The 2024 NICE guideline NG239 on B12 deficiency in over 16s makes an important point: the optimal route, dose and frequency of B12 replacement have never been firmly established, and have often followed custom and historical practice

02 We assess your features, skin quality, and prioritiesthen map a paced plan: what to do now, what can wait, and what will give the most believable return over timewith next steps

But again, thats not typical

Some symptoms that may indicate a B12 deficiency include: A vitamin B12 deficiency must be diagnosed by a healthcare provider through a blood test before a patient begins seeking B12 injections