Nerve pain (caused by diabetes, radiation, chemotherapy, etc.) Since Vitamin B12 balances the nervous system, a lack of it can lead to nerve damage and degeneration of the spinal cord
Options include: Changing from one oral tablet formulation to another with different excipients Discussing sublingual preparations as an alternative (though evidence doesn't suggest superior absorption to oral tablets) For those on injections, checking the specific product's SmPC for excipient information In the UK, hydroxocobalamin injection is the licensed first-line treatment for B12 deficiency requiring parenteral therapy
Vitamin B12 injections are usually given intramuscularly, meaning they are injected directly into a muscle
High homocysteine is associated with cardiovascular disease, Alzheimers, vascular diseases, and cancer so it is an important marker to assess, yet is rarely done as part of a standard pathology test