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Biotin can be taken in tablet form or given intramuscularly as an injection

The once-weekly dosing and gradual dose escalation protocol may help minimise side effects

2025;178(3):ITC33-ITC48

These effects can lead to: Reduced dietary intake of B12-rich foods (meat, fish, dairy, eggs) Altered eating patterns with potential nutritional inadequacy Reduced nutritional intake if gastrointestinal symptoms are severe or prolonged Vitamin B12 deficiency can manifest with significant clinical consequences, including macrocytic anaemia, peripheral neuropathy, cognitive impairment, fatigue, and mood disturbances

10.1080/16078454.2021.2010877 [DOI] [PubMed] [Google Scholar] Ouzzani M., Hammady H., Fedorowicz Z., Elmagarmid A
