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For chronic pain conditions, alternative long-term strategies are recommended, which we can discuss during your consultation

doi:10.1007/s00213-018-5042-1

Without adequate vitamin B12, you have fewer red blood cells carrying oxygen throughout your body

In 2019, Li et al

Metformin: this medication, used to treat type 2 diabetes, can reduce the absorption of vitamin b12, increasing the risk of deficiency

Summary: Vitamin B12 injections for pernicious anaemia deliver hydroxocobalamin intramuscularly to bypass malabsorption caused by lack of intrinsic factor, rapidly correcting deficiency and preventing neurological damage