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Lifelong treatment is necessary for irreversible causes such as pernicious anaemia or following gastric surgery

This helps prevent disease transmission through shared gear

It is important to stress that insufficient levels of B12 raise susceptibility to infections and diseases, and are very harmful to the nervous system which in turn can cause neurological disorders and severe and sometimes irreversible nerve damage

Understanding the difference between minor, self-limiting reactions and those requiring urgent assessment is essential for safe home administration

While its more common on the thighs and buttocks, many peopleespecially womenalso develop it on the stomach due to hormonal changes, weight fluctuations, ageing, or genetics

Dyer F, Diesel G, Cooles S, Tait A (2012): Suspected adverse events, 2011