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Some letters state that the reason B12 injections are being stopped is many patients are being over treated with this vitamin

For someone with documented deficiency, on long-term metformin or a PPI, or with confirmed absorption problems, step up to a higher-potency option like Jarrow Methyl B-12 5,000 mcg under a clinician's guidance

Yes, prevention is the key

Low B12 can cause tiredness, nerve problems, depression, and increased heart disease risk from high homocysteine

I did this specifically so I could keep as great a number of ampoules in stock as possible at any one time, to give me a decent buffer time to sort out new supplies, if ever we can't get them by post as we do now