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In the UK, hydroxocobalamin is the preferred injectable formulation prescribed by the NHS for treating confirmed B12 deficiency

A: Safety data sheets classify the iodide salt as harmful if swallowed and irritating to skin, eyes and respiratory tract

Possible complications heart failure severe neurological deficits gastric cancer type 1 diabetes rheumatoid arthritis myasthenia gravis (a chronic condition causing muscle weakness) Hashimotos disease (an autoimmune condition affecting the thyroid) A pregnant or nursing person with a B12 deficiency When a person receives treatment for a B12 deficiency, they generally recover well and cease to have symptoms, although they may need to continue to use B12 nutritional supplements

Compared to oral supplements, this leads to quicker and more effective results