We are assessing more people by phone, get pictures sent by email, while safetynetting extra carefully
Some patients feel as though they want more frequent injections, and occasionally we test levels to see if they are receiving adequate replacement, but Im not sure how strong the evidence is to support this. GPs should consider periodic vitamin B12 testing of higher-risk patients who take metformin, even if they dont display symptoms of deficiency, the UK medicines regulator said earlier this year
10.1186/s13011-015-0006-5 49 Shankara-NarayanaN.YuC.SavkovicS.DesaiR.FennellC.TurnerL.et al (2020)
Other causes of B12 deficiency may be helped by increasing the vitamin B12 in your diet
Vitamin B12 itself is vital for energy production and maintaining healthy nerve cells, but its direct impact on weight loss needs to be clearly established
Morning administration is generally preferred as it supports daytime energy metabolism and fat oxidation