vitamin b12 better injected into muscle or subq Efficacy of different routes of supplementation for the treatment of patients with vitamin B12 deficiency: A systematic review and network meta-analysis Optimal B12 Injection Sites for

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Severe deficiency may result in peripheral neuropathy, loss of bowel control, paralysis, erectile dysfunction, depression, and paranoia

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For patients seeking weight loss who request B12 injections, GPs should: Assess for genuine deficiency through appropriate blood tests rather than empirical treatment Provide education about the lack of evidence supporting B12 for weight loss in non-deficient individuals Explore underlying concerns about weight and energy levels, addressing these through appropriate channels Signpost to evidence-based resources such as NHS weight management services according to local pathways Patients should contact their GP if they experience unexplained fatigue, neurological symptoms (numbness, tingling, balance problems), or signs of anaemia (pallor, breathlessness, palpitations), as these may indicate B12 deficiency requiring investigation

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What is B12