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Vitamin B12 (also known as cobalamin ) is a vital B vitamin essential for human life, supporting the nervous and cardiovascular systems

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[10] [11] Intramuscular B12 injections (hydroxocobalamin or cyanocobalamin) bypass the digestive system, but UK product information (SmPCs) for hydroxocobalamin injections does list gastrointestinal disturbances, including diarrhoea, as possible adverse reactions, albeit rare

In such cases, the NHS standard treatment is intramuscular hydroxocobalamin injections, typically given every 2-3 months for maintenance after an initial loading regimen

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