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However, markedly elevated levels without supplementation may warrant GP review to exclude underlying conditions such as haematological disorders, liver disease, or renal impairment

Some people who take expensive supplements lose a significant portion of the active ingredients due to poor absorption

[4] [5] Some patients report temporary digestive changes following injections, though the exact mechanism for this is not well established

Vitamin B12 deficiency, commonly underdiagnosed by conventional medicine, is an increasingly common deficiency across a broad spectrum of our population

According to the British Society for Haematology , treatment should not be delayed when neurological symptoms are present