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If vitamin B12 levels are low, people may experience: Persistent tiredness or fatigue Reduced energy levels Difficulty concentrating Dizziness or weakness For this reason, some travellers consider a B12 injection before a summer holiday in the North West UK to support normal energy levels and reduce travel fatigue

A private blood test confirms your deficiency, establishes a baseline and allows us to monitor your response to treatment

The two used for injections, hydroxocobalamin and cyanocobalamin, have different storage rules, and getting them mixed up is the usual source of confusion

Contact your doctor if you experience any side effects or problems with injections

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doi:10.1016/j.ejmg.2019.103713