Overgrowth of bacteria: Some people develop vitamin B 12 deficiency as a result of conditions that slow the movement of food through the intestines (diabetes, scleroderma, strictures, diverticula), allowing intestinal bacteria to multiply and overgrow in the upper part of the small intestine
Some people need a short course close together, while others may only need occasional top-ups for maintenance
It also plays a critical role in pregnancy, helping to prevent neural tube defects such as spina bifida and anencephaly
These injections are enriched with vitamins, minerals, and amino acids, such as vitamin B12, choline, methionine, and inositol, which collectively boost the metabolism, enhance energy levels, and promote the removal of fat from the liver
The Pharmacy First service builds on the NHS Community Pharmacist Consultation Service which has run since October 2019