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Spironolactone may be considered, but it only becomes effective after ~1-2 days

I think that they are hoping that giving large doses of oral B12 will give some passive absorbtion, which will keep levels up

A problem vial often shows warning signs early

Supporting Metabolism with Vitamin D Vitamin D is often called the sunshine vitamin, but its role in weight management is often overlooked

When to seek medical advice : Contact your GP if you experience symptoms of B12 deficiency, such as persistent fatigue, pins and needles, memory problems, or glossitis (sore, red tongue)
