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I have B12 and needles here - can anyone point me to instructions on how to use

That alone was worth every penny." What's particularly encouraging is how long the benefits last

This typically involves: Intrinsic factor antibodies (highly specific for pernicious anaemia, though sensitivity is only 50%) [12] [28] Gastric parietal cell antibodies (more sensitive but less specific) Coeliac serology if malabsorption is suspected Consideration of upper gastrointestinal endoscopy in selected cases, particularly with autoimmune gastritis/pernicious anaemia NICE guidance emphasises that treatment should not be delayed whilst awaiting antibody results if clinical features strongly suggest deficiency, as irreversible neurological damage can occur

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If you dont supplement, an elevated B12 can be a marker for underlying conditions including liver disease, kidney dysfunction, or certain blood disorders