28 People often continue to experience mild neurological symptoms such as poor memory, impaired concentration, and fatigue even after adequate B 12 replacement (eg, therapy according to the BNF suggested treatment regimen) 9 17 29 and many patients report they need additional treatment
Living with undiagnosed pernicious anaemia can etch away ones quality of life, making the simplest of chores seem like monumental tasks
Keep vitamin B12 injections cool and dry
But if you lost only 2 pounds per week and your injection cycle lasts only 4 week, you would only lose about 8 pounds
Patients taking certain medications (e.g., chloramphenicol may reduce the effectiveness of B12 therapy) or with risk factors for B12 deficiency (metformin use, proton pump inhibitors, nitrous oxide exposure, vegan diet) should discuss these with their healthcare provider