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Patients should also report recreational nitrous oxide use, as this can inactivate vitamin B12 and cause neurological symptoms

Summary: B12 shots at home are NHS-supported intramuscular or subcutaneous injections of hydroxocobalamin used to treat confirmed vitamin B12 deficiency following proper training from healthcare professionals

Never inject a diluent by itself or use it outside the manufacturer instructions

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B12 injection shots can usually be felt within 24 hours (and a change should show in blood tests after a month or two) A high dose of B12 oral supplementation takes the same time as an injection: roughly 24 hours to feel an improvement and then up to 2 months to show in blood markers

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