Your GP will determine the appropriate formulation (usually hydroxocobalamin 1mg/ml), dosing frequency, and whether home administration is suitable for your circumstances
The most common reports are mild stimulant-like effects (warmth, slightly higher resting heart rate), insomnia if dosed late in the day, and mild stomach upset with capsules
Although gastric banding carries a lower risk of B12 deficiency than malabsorptive procedures such as Roux-en-Y bypass, reduced tolerance of B12-rich foods and the use of acid-suppressing medicines can still compromise nutritional status over time
Cognitive-behavioral therapy (CBT), mindfulness, acceptance and commitment therapy, and biofeedback analysis have been shown to reduce different types of pain, including headache pain
A lack of vitamin B12 can lead to neurological disorders such as agitation, hallucinations, changes in natural reflexes, poor muscle function, memory problems, loss of taste, and in severe cases, can cause psychiatric disorders