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Why we need a prescription

Anaphylaxis: Rare cases of anaphylaxis have been reported following injection

Physical Activity Activity recommendations tailored to your current fitness level, starting conservatively and building progressively

These polymorphisms are unrelated to cobalamin metabolism and the elevated MMA levels do not, by themselves, indicate a B12 deficiency (Molloy, 2016)

It is important not to self-treat with high-dose B12 supplements before seeing your GP if you suspect deficiency, as this can interfere with diagnostic blood tests and potentially mask underlying conditions such as pernicious anaemia