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You should also contact your GP if: You are unable to attend scheduled maintenance injections, as missing doses can lead to symptom recurrence You develop new symptoms that might indicate other deficiencies or health problems You are planning pregnancy, as B12 requirements may change You experience persistent side effects such as headaches, dizziness, or gastrointestinal symptoms If you experience any side effects, talk to your doctor, pharmacist or nurse

Another option is Ultravac 5+1 which comes with B12 or B12 and selenium

B-12 Rapid Shot skips that process entirely, delivering 5,000mcg of methylcobalamin the biologically active coenzyme form of B12 in a fast-absorbing chewable nano tablet that requires no water and no swallowing.*

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While a small portion can be converted into active B12, it may replace the bodys natural stores with inactive B12