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NHS approach to B12 deficiency: NICE Clinical Knowledge Summaries recommend investigating B12 deficiency in patients presenting with macrocytic anaemia, unexplained neurological symptoms, or risk factors including pernicious anaemia, gastrectomy, malabsorption disorders, metformin use, proton pump inhibitors, or nitrous oxide exposure

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How Often to Get MIC B12 Injections: Considerations & Best Practices MIC B12 injections are usually administered weekly, but your ideal frequency depends on health goals and doctor recommendations for safe, effective results

When doctors begin your pernicious anemia treatment, theyll actually start with an initial loading phase of 5-10 shots over a few weeks