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Now back on Lymecycline so I think I may try see if there is alternative b12 options such as tablets minniemouse89, I have to confess I haven't read every post on this thread, so apologies if I'm saying something that's already been said

periodic monitoring is prudent

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Vitamin B12 injections, typically hydroxocobalamin in the UK, are evidence-based therapies for confirmed B12 deficiency, treating conditions such as pernicious anaemia and malabsorption syndromes