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This treatment is ideal for adults who feel chronically tired, have low B12 levels, follow a vegetarian or vegan diet, or experience symptoms like brain fog, numbness, tingling, or weakness

It is used in cases of

Seek urgent same-day assessment or call 999 for emergency care if experiencing: Severe chest pain Severe shortness of breath Fainting or collapse Acute or rapidly worsening neurological deficits (such as new limb weakness, sudden gait disturbance, or bladder/bowel dysfunction) Persistent or worsening anaemia symptoms despite treatmentincluding breathlessness, chest discomfort, palpitations, or extreme fatigueshould trigger medical review

Cardiovascular morbidity and mortality associated with the metabolic syndrome

6a and Supplementary Fig

These can include whether you have an underlying health condition