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A typical approach is 4 to 12 weeks on, then an off-cycle of equivalent length

Only a confirmed deficiency should lead to a prescription for B12 injections

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Diagnosing Vitamin B12 Deficiency in the UK Diagnosis of vitamin B12 deficiency in the UK follows a structured approach combining clinical assessment, biochemical testing, and investigation of underlying causes, as outlined in guidance from NICE and the British Society for Haematology