I have been a patient for 4 plus years
Injections deliver nutrients directly into the muscle, resulting in better absorption than oral supplements
Epithelial MLCK-dependent barrier dysfunction mediates T-cell activation-induced diarrhea in vivo Cytoskeletal contraction due to myosin II (regulatory)-light chain (MLC) phosphorylation is necessary for barrier disruption and in vitro inhibition of myosin light chain kinase (MLCK) restores barrier function following cytokine treatment

B12 (cobalamin) is a water-soluble vitamin essential for neurological function, red blood cell formation, and DNA synthesis Joint pain is not listed as a recognised adverse effect in the BNF or licensed B12 product information When joint discomfort occurs after starting B12, it is typically coincidental or related to excipients, injection technique, or pre-existing conditions Severe B12 deficiency itself can cause neuropathic symptoms that may be misinterpreted as joint pain Do not discontinue prescribed B12 treatment without medical guidance, particularly for confirmed deficiency or pernicious anaemia Seek prompt medical advice for severe joint pain, hot swollen joints with fever, or symptoms of allergic reaction Table of Contents Can Vitamin B12 Cause Joint Pain
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JJW is grateful to Rosetrees Trust for their interdisciplinary award