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Your provider can give you a better idea of what to expect, but injections are typically given bi-weekly for about three months

B12 testing is recommended in patients with fatty liver disease who have: Symptoms suggestive of deficiency (anaemia, neuropathy, cognitive changes) Long-term metformin use (MHRA 2022 guidance advises monitoring) Long-term proton pump inhibitor use Vegetarian or vegan diets Conditions affecting absorption (pernicious anaemia, coeliac disease, gastric surgery) Advanced liver disease (NASH, fibrosis, or cirrhosis) Monitoring frequency should be individualised based on disease severity and risk factors

doi:10.1016/j.bcp.2018.05.003 Neelakantan H, Brightwell CR, Graber TG, et al

In simplified terms it works like this: when damage occurs somewhere in the body, the tissue needs blood, oxygen, nutrients, immune cells

The frequency depends on your individual needs and the severity of any deficiency

So it can be tough for a doctor to determine that vitamin B12 deficiency is the problem, unless youve taken a baseline test beforehand and already know that your B12 levels are lower than they should be