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Psychiatry 79 , 823825 (2008)

[2] Patients should contact their GP if they experience: Side effects from B12 injections (though these are rare and usually mild) Difficulty attending scheduled injection appointments, as missed doses may lead to symptom recurrence New symptoms developing during treatment Concerns about treatment effectiveness or duration Changes in other medications that might affect B12 absorption Suspected adverse reactions to B12 treatment can be reported through the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk)

Forgetfulness and confusion

Surgical procedures Sometimes few surgeries that involve the removal or alteration of the stomach or intestines can affect the bodys ability to absorb vitamin B12 as removal reduces the surface area available for absorption

Her eczema had spread to the soles of her feet and even though she was only in her early 20s she was hobbling around like an old lady