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Contact your GP if you experience: Unexpected symptoms after starting B12 supplementation, including persistent skin reactions, gastrointestinal disturbance, or mild allergic manifestations Neurological symptoms such as significant tingling, numbness, weakness, or balance problemsthese may indicate B12 deficiency paradoxically, or alternative neurological conditions requiring assessment Unexplained fatigue or malaise that develops or worsens despite supplementation Concerns about medication interactions , particularly if taking metformin, proton pump inhibitors, or other medications affecting B12 metabolism [2] [4] Seek emergency medical attention (call 999) if you develop signs of a severe allergic reaction following B12 injection, including facial swelling, difficulty breathing, or widespread urticaria

Gastrointestinal absorption barriers of vitamin B 12 can be avoided by intramuscular injection

Some people require more frequent injections and would usually be guided by specialist hospital colleagues

Clinical Benefits: Essential cofactor in fatty acid synthesis and energy metabolism Supports the integrity of keratin, the structural protein in hair and nails Involved in gluconeogenesis and blood glucose regulation Supports neurological function and nerve signalling May help address symptoms associated with biotin deficiency Intramuscular delivery ensures reliable absorption where oral intake is inadequate Your practitioner will assess whether biotin injections are clinically appropriate for your individual circumstances and recommend a treatment plan accordingly