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Unlike B12 deficiency, which produces well-recognised neurological and haematological manifestations, hypercobalaminaemia is typically asymptomatic

However, by this point, you will be deficient in the money you have spent on needless injections, so Save Face recommend a full check-up with either your NHS GP or a private doctor, who can confirm your symptoms and any genuine deficiency with a blood test, and more importantly can prescribe the best type of B12 product and treatment programme to suit your needs.

Clinicians should review the patients medication list and use pyridoxine judiciously, adjusting therapy as needed to account for these interactions

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