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As per the updated NICE guidelines, Vitamin B12 deficiency is more common in older people and is thought to affect around 5% of 65-74-year-olds and over 10% of over-75s. Vegans - People who follow a diet that excludes, or is low in, animal-source foods, e.g

Shannahan, J.H

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Does the injection hurt

GPs can prescribe B12 injections following appropriate investigation, which should include: Full blood count to identify macrocytic anaemia Serum B12 and folate levels to confirm deficiency (using laboratory-specific reference ranges) Methylmalonic acid and/or homocysteine when B12 results are borderline Intrinsic factor antibodies if pernicious anaemia is suspected Additional tests depending on clinical presentation (e.g., thyroid function, coeliac serology) When both B12 and folate deficiency are present, B12 should be replaced before folate to avoid precipitating subacute combined degeneration of the spinal cord

A better bet may be to use an FDA-approved version of semaglutide (such as Wegovy) as well as an FDA-approved prescription B12 injection