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Symptoms such as skin rashes, itching, and gastrointestinal discomfort may occur after taking B12 supplements or consuming fortified foods

Tingling or numbness: Mild paresthesia in the extremities, related to fluid shifts and usually resolving within days

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

In many cases, B12 shots are available by prescription only

However, for the last several years, B12 injections have been given to people without clinical deficiencies

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