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So, if you are struggling to manage in that third month please point your GP towards the new guidance in the BNF

It remains in the body for a longer period of time and at higher levels than Cyanocobalamin, which means that the body is supplied with vitamin B12 for longer if you use Methylcobalamin

But it also raises IGF-1, disrupts glucose metabolism, and can accelerate unwanted tissue growth

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For practitioners the supply chain runs through a registered pharmacy against a valid prescription

Seek emergency medical attention (call 999) if you experience: Difficulty breathing or swallowing Swelling of the face, lips, tongue, or throat Widespread rash or hives developing rapidly Severe dizziness or feeling faint Chest tightness or wheezing Anaphylaxis to hydroxocobalamin is uncommon but documented in the product information