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Those who follow a vegetarian or vegan diet are particularly prone to vitamin B-12 deficiency, as are those with a condition known as Pernicious anemia which affects B-12 absorption in the gut

No evidence that the product of the reproductive capacity have toxic effect, and the teratogenic mutations and the effect that can cause cancer

B12 injections are absorbed straight into your bloodstream, making them faster-acting and potentially more effective

That is one of the reasons, as the NICE guideline says, that we need to adjust treatment to the patients symptoms, not do a blood test or prescribe a one-size-fits-all dose