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Menopause cold flashes often appear as an afterburn following a hot flash, as your body overcompensates to try to cool you down

People on certain medications: Some medications can interfere with the absorption or metabolism of vitamin B12, including proton pump inhibitors (PPI), metformin, nitrous oxide anesthesia, some epileptic medications, and colchicine (for gout)

Having an infection in your mouth can also increase your risk of jaw necrosis

I'll be coming back for another vitamin shot" No matter how healthy you eat, you can still be lacking in nutrients

nice.org.uk/ "Ive also been tested 2/3 times for coeliacs over the past couple of years - latest two months ago - all negative." If you've been tested several times as GP suspects coeliac disease and your results have been negative each time, I'd expect GP to refer you to a gastro enterologist