b12 injection or oral Compounded Hydroxocobalamin (Vitamin B12) Vitamin B12 Injection Service |

The most frequent symptoms are: Developmental delays Anaemia Loss of appetite Chronic vomiting Weight loss Low brain volume Spasms/cramps Apathy Irritability In the most severe instance, vitamin B12 deficiency can lead to respiratory failures and coma (51)

It is characterised by its selective interaction with NNMT (Nicotinamide-N-Methyltransferase) , an enzyme implicated in a range of metabolic and biochemical regulatory processes, making it a valuable reference compound for preclinical and in-vitro research programmes

Flush lines thoroughly with saline between drugs

Premature rupture of membranes: Also known as PROM, this is a situation where the membranes rupture before the completion of 37 weeks of pregnancy, resulting in preterm birth (8)

Thiamine (vitamin B1): Prolonged vomiting or severely reduced intake can lead to a serious deficiency requiring prompt medical assessment and, in some cases, urgent intravenous treatment

Encourage patients to rest adequately and avoid strenuous activity for 24 hours, allowing tissues to stabilize post-injection