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The frequency of your B-12 injections can also be influenced by factors such as diet, lifestyle, and absorption issues

Pathological causes of elevated B12 warrant careful consideration: Haematological disorders : Myeloproliferative neoplasms (polycythaemia vera, chronic myeloid leukaemia), acute leukaemia, and lymphoproliferative disorders can increase B12-binding proteins (transcobalamin and haptocorrin), elevating total serum B12 [3] Liver disease : Hepatocellular damage releases stored B12 into circulation

NHS guidance is clear that it should be prescribed and given by, or under the supervision of, a suitably qualified professional

Neither step alone produces the best result

But, if you have a severe or chronic vitamin B12 deficiency, you may need repeated shots until the levels are replenished, followed by occasional maintenance shots