b12 injections im or sc B-12 – Well Life Medicine B12 Shots at Home: How,

However, annual review with your GP is advisable to: Ensure adherence to the injection schedule Monitor for any new or worsening symptoms Consider testing for other autoimmune conditions if symptoms develop (particularly thyroid function, as thyroid disease is commonly associated with pernicious anaemia) [2] Gastric cancer risk: Pernicious anaemia is associated with a slightly increased risk of gastric cancer

Patients with Lebers disease should avoid using it also

Treatment should not be delayed if neurological symptoms occur, as nerve damage may become irreversible without prompt B12 replacement

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