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[2] Patients should contact their GP if they experience: Side effects from B12 injections (though these are rare and usually mild) Difficulty attending scheduled injection appointments, as missed doses may lead to symptom recurrence New symptoms developing during treatment Concerns about treatment effectiveness or duration Changes in other medications that might affect B12 absorption Suspected adverse reactions to B12 treatment can be reported through the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk)

Transcriptomic analysis of mouse and human brain vessels has revealed distinct patterns of gene expression, including those coding for key tight junction proteins and some transporters (Urich et al., 2012

Other cases have been reported