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Do I need blood tests before a vitamin B12 injection

again, the most robust efficacy was seen in patients with a BMI less than 35 kg/m 2 (25)

Sci Rep 12 , 484 (2022)

Oral B12 has a bottleneck

By selectively inhibiting NNMT an enzyme central to energy regulation and fat metabolism this compound has demonstrated, in preclinical studies, the capacity to elevate intracellular NAD and SAM levels, suppress lipid accumulation in adipocytes, and reduce white adipose tissue mass in diet-induced obese mouse models

In practice a GP or nurse may administer off-licence by giving a sub-cutaneous (under the skin, SC) injection but it is important to remember that the GP makes their own decision and takes their own accountability and reliability if they go off-licence