caution in methylation disorders (use only under supervision) No known drug interactions with oral medications, but B12 may mask B9 (folate) deficiencycombined B-vitamin status should be assessed periodically
Before beginning any routine, its best to do comprehensive bloodwork to check your current B12 levels and identify any underlying deficiencies
If the patient has an autoimmune disease or another condition that prevents the stomach from making intrinsic factor, then Vitamin B12 injections may be a better option
By supporting healthy red blood cell production, B12 injections can help prevent or correct anaemiaa common cause of fatigue and weakness
Vitamin B12 (Cyanocobalamin) - Warnings and contraindications
However, this approach is not routine first-line treatment in UK practice, is considered off-label, and requires good patient adherence and clinical follow-up