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This does not mean B12 is automatically forbiddendeficiency is also common and harmful in CKD

If you already have a diagnosed deficiency under NHS care and your symptoms return before your next scheduled dose, that is a conversation to have with your GP, who can review the schedule

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Even if Intrinsic Factor is lacking, the sheer concentration of the liquid forces approximately 1-2% of the dose directly into the bloodstream, ensuring adequate delivery to the tissues