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For example, someone with severe B12 deficiency and neurological symptoms might need more frequent injections at first

Patients seeking weight management support should consult their GP for referral to NHS tiered weight management services, which provide evidence-based, multidisciplinary care

These individuals include pregnant and breastfeeding women

Endogenous causes (medical conditions) When B12 is elevated without supplementation , it can indicate that the body is releasing stored B12 from damaged tissues, producing excess B12-binding proteins, or failing to clear B12 normally

In individuals with severe deficiency or neurological symptoms, vitamin B12 injections are recommended initially, followed by long-term maintenance therapy

Manage gut conditions If you have celiac disease, Crohns, pernicious anemia, or any other condition that messes with your guts ability to absorb nutrients, follow your doctors orders about medications and diet changes