Nasal Sprays : Nasal B12 sprays have been shown to effectively raise B12 levels and offer a convenient, needle-free alternative for individuals who prefer non-injection options or have difficulty with traditional supplementation[23]

According to British Society for Haematology (BSH) guidelines and NICE Clinical Knowledge Summaries (CKS), the primary beneficiaries include: Key patient groups who may require B12 injections include: Pernicious anaemia patients requiring lifelong hydroxocobalamin 1mg intramuscularly every 23 months following initial loading doses Patients with gastrointestinal disorders including those who have undergone gastrectomy or ileal resection, and patients with conditions affecting B12 absorption such as Crohn's disease or coeliac disease Strict vegans and vegetarians though oral supplementation is usually sufficient unless malabsorption is present Elderly patients who may have reduced gastric acid production affecting B12 absorption Patients taking certain medications including metformin (MHRA advises monitoring B12 levels in long-term users, particularly those with risk factors or symptoms), proton pump inhibitors, and H2-receptor antagonists long-term [6] Individuals with neurological symptoms such as paraesthesia, ataxia, or cognitive impairment related to B12 deficiency Pregnant women with confirmed deficiency (hydroxocobalamin for malabsorption

These are research figures, framed for research use only
Patients are encouraged to discuss any previous vitamin deficiencies, sensitivities, allergies, or recent health concerns prior to treatment
Vitamin B12 : Also known as cobalamin, Vitamin B12 is vital for DNA functioning and metabolism , red blood cell production , and maintaining proper neurological function
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