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Intramuscular (IM) B12 injections using hydroxocobalamin, the preferred licensed form in the UK are recommended when: Oral supplementation has failed to correct a documented deficiency The patient has difficulty adhering to daily oral regimens Serum B12 levels remain persistently low despite adequate oral dosing There is clinical evidence of neurological or haematological complications In line with BNF guidance, the standard IM regimen for confirmed deficiency without neurological involvement is a loading course of 1 mg hydroxocobalamin on alternate days for two weeks , followed by maintenance of 1 mg every three months

You could submit a Freedom of Information request to CCG and maybe to GP surgery asking what guidelines are being used in your area

An umbrella meta-analysis published in the International Journal of Vitamins and Nutrition Research confirmed that L-carnitine supplementation can successfully manage reductions in weight, BMI, and waist circumference

Journal of Urology, 179(3), 1066-1071