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Inactive B12 : The standard test measures total B12, but cannot distinguish active from inactive forms

The NHS gives its standard hydroxocobalamin treatment as an intramuscular injection, usually delivered by a nurse or doctor

Its symptoms vary from rash on the skin to itching, dizziness , or even breathlessness

Additionally, Methylcobalamin may enhance mood regulation, potentially reducing symptoms of depression and anxiety

Once your levels are restored, you might only need a maintenance shot every two or three months

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