Sustained energy levels and reduction of occasional fatigue*
NHS loading is 1mg hydroxocobalamin every two days for two weeks, then maintenance every two to three months for life when the cause is non-dietary
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Patients should seek urgent same-day assessment if they develop any new neurological symptoms, as subacute combined degeneration of the spinal cord a serious but preventable complication of prolonged B12 deficiency requires immediate treatment
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
