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MHRA guidance Human Medicines Regulations 2012, Regulation 279

NICE Clinical Knowledge Summaries recommend B12 injections for: Pernicious anaemia an autoimmune condition affecting intrinsic factor production Malabsorption syndromes including coeliac disease and inflammatory bowel disease Post-surgical states particularly following gastrectomy or ileal resection Strict vegan diets when oral supplementation proves inadequate, though oral cyanocobalamin is usually sufficient for dietary deficiency Clinical trials demonstrate that B12 injections rapidly improve haematological parameters and neurological symptoms when deficiency is confirmed through blood tests

The nutrient can keep blood glucose levels low, aid in glycogen repletion, decrease muscle soreness, improve physical recovery, improve blood flow, aid in muscle growth, and also protects the body from fatigue

A lack of the vitamin can cause the body to produce abnormally large red blood cells that cant function properly