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More specialised tests such as active B12 (holotranscobalamin) or methylmalonic acid may be available through specialist referral, though availability varies across the UK

Most clients begin with weekly injections, then adjust to a maintenance schedule under the guidance of our providers

But for some users, nausea becomes dose-limiting

Many patients use the spray as a supplement with one -a-day spray along with once a week shot

Underlying conditions: digestive disorders like Crohn's or celiac disease, or autoimmune conditions, can cause you to use up B12 faster and may call for more frequent injections

the infant will simply receive more B vitamins, and excess will be excreted in the infants urine as well