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Per BNF and BSH guidance: For confirmed deficiency without neurological involvement: 1 mg IM on alternate days for two weeks, then 1 mg every two to three months for maintenance
Clinics need to stay vigilant about sourcing, documentation, and patient consent
Low B12 levels are increasingly common, especially in people following vegan or vegetarian diets, those with absorption issues, or individuals experiencing tiredness, low mood, or brain fog

These medical conditions include: Irritable bowel syndrome (IBS) : IBS is a chronic condition that affects your large intestine, causing abdominal pain, bloating, constipation, and/or diarrhea

Involvement of brain catecholamines and acetylcholine in growth hormone hypersecretory states
