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(June 2014)

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The NHS treatment pathway splits B12 injections into two phases, a loading phase to top you up quickly, then a maintenance phase to keep you there

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Some common symptoms are: Low energy levels Trouble focusing Feeling more irritable Light shortness of breath Getting tired earlier in the day These symptoms can differ for everyone, but if they show up near the end of your dose cycle, increasing the frequency might help

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Hematocrit and reticulocyte counts should be repeated daily from the fifth to seventh days of therapy, and then frequently until the hematocrit is normal

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Genuine B12 supplementation is clinically indicated for vegans, older adults, people with pernicious anaemia, those on long-term metformin, and individuals with malabsorption conditions

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