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Patients who are currently self-injecting with prescribed B12 from their GP should continue to do so

For these patients, an injection offers a reliable alternative that sidesteps the absorption process entirely

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Injections deliver a full available dose directly into the bloodstream, producing faster results

I am sure you are also aware that anxiety, self-doubt, mood swings (including low mood) can all be signs of B12 deficiency - along with many, many other symptoms that are recognised only by the best and most observant of medical professionals