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Store in a cool cabinet away from all light and humid areas, and never near a shower, sauna, atrium or Jacuzzi

Vitamin B12 deficiency in over 16s: diagnosis and management (NG239) Full guideline PDF

(24) As you can see, anyone following a strict vegan diet may struggle to obtain adequate levels of vitamin B12 in their daily diet

Guidelines suggest starting with a daily or weekly dose for the first month

Your provider will make a follow-up appointment after three rounds to determine your long-term treatment plan

If you have vitamin B12 deficiency from pernicious anemia or as a result of bariatric surgery, then you must supplement with vitamin B12 regularly in order to prevent debilitating symptoms such as fatigue, depression, muscle pain, memory loss, and other signs of cognitive and neurological breakdown