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Available over the counter without a prescription

If you experience a suspected adverse reaction to any medicine or substance including unlicensed compounds you can report this to the MHRA via the Yellow Card Scheme at yellowcard.mhra.gov.uk

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Adjusting the dose for each patients needs is vital for safe and effective treatment

Certain populations face higher deficiency risk: vegetarians and vegans (B12 is primarily found in animal products), adults over 50 (decreased stomach acid reduces B12 absorption), individuals with digestive disorders like Crohn's disease or celiac disease, and those taking medications like metformin or proton pump inhibitors