It is indispensable for many essential functions in the human body, from keeping red blood cells and the central nervous system healthy to metabolizing food into energy and helping synthesize DNA
You should contact your GP or NHS 111 if you experience: Persistent diarrhoea lasting more than 7 days in otherwise healthy adults Blood or mucus in stools , which may indicate inflammatory bowel disease or infection Severe abdominal pain or cramping that is worsening or different from previous digestive symptoms Unexplained weight loss alongside bowel changes Signs of allergic reaction , including rash, itching, swelling, or difficulty breathing (call 999 or go to A&E for severe reactions) Neurological symptoms such as numbness, tingling, balance problems, or memory difficulties, which may indicate B12 deficiency is not being adequately treated Seek help sooner if you have red flag symptoms, are pregnant, immunosuppressed, elderly, or have significant underlying health conditions
Prompt parenteral administration of Vitamin B12 prevents progression of neurologic damage
Injection site reactions (temporary redness, mild discomfort) are typically minor and resolve within hours
ranitidine, famotidine Colchicine (used in the management of gout) Oral contraceptives (used to manage pregnancy) Ex