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Contact your GP immediately, call NHS 111, or attend A&E if you develop: Irregular heartbeat or palpitations that persist Chest pain or pressure Severe breathlessness Significant leg swelling These symptoms require assessment to determine their cause, which may or may not be related to your B12 treatment

Storage: Lyophilized: freeze at 20 C (4 F)

NICE guidelines recommend hydroxocobalamin 1 mg intramuscularly three times weekly for 2 weeks (without neurological involvement) or on alternate days until no further improvement (with neurological symptoms)

How to Choose the Right B12 Supplement for You Selecting an appropriate B12 supplement requires consideration of several factors, including your dietary habits, health status, absorption capacity, and any existing medical conditions or medications that might affect B12 metabolism