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The following may increase your risk of developing a vit B12 deficiency: High alcohol Gastritis Celiac disease Older age Crohns Vegan/Vegetarian diet Pernicious anaemia GI Surgery Pancreatic insufficiency pylori infection A full medical consultation and assessment will be carried out and referrals to other health professionals may sometimes be necessary prior to treatment

Anyone can be affected, but some groups are more at risk: Vegetarians and vegans, since B12 mainly comes from animal products Older adults, as absorption gets harder with age People with digestive issues like Crohns or coeliac disease Those taking certain medications, such as long-term metformin or stomach acid reducers People with pernicious anaemia, an autoimmune condition that stops you from absorbing B12 If you fit into one of these categories and notice symptoms, its worth getting your levels checked

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For short-term use (days to weeks), refrigeration at 4C (39F) is acceptable