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Third, if you have symptoms of deficiency that have never been investigated, we will tell you to see your GP for a blood test before we book anything

For optimal results, patients should maintain consistent treatment schedules under medical supervision

[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes

This provides 4 weeks between injections in the same area

B12 deficiency may result in neurological issues, anemia, poor bone density, and age-related macular degeneration of the eye