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Any excessive amount not used by the body is flushed out in the urine due to vitamin B12 being a water soluble vitamin

Healthcare Provider Preference : Sometimes, the preference and experience of the healthcare provider can influence syringe selection

There are no other absolute contraindications reported for hydroxocobalamin use in deficiency states, but caution is advised in individuals with conditions such as early Lebers optic neuropathy (a rare hereditary optic atrophy) due to the theoretical risk of worsening vision

Anaphylactic shock and death have been reported after parenteral vitamin B 12 administration

Table of Contents What Is Pernicious Anaemia and Why B12 Injections Are Needed How Vitamin B12 Injections Work for Pernicious Anaemia NHS Treatment Schedule and Dosing for B12 Injections What to Expect During and After Your B12 Injection Monitoring Your Treatment and Long-Term Management Scientific References Frequently Asked Questions What Is Pernicious Anaemia and Why B12 Injections Are Needed Pernicious anaemia is an autoimmune condition in which the body cannot absorb vitamin B12 (cobalamin) from the diet due to a lack of intrinsic factor , a protein produced by cells in the stomach lining