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According to NICE guidance, hydroxocobalamin injections are the recommended first-line treatment for pernicious anaemia and other malabsorption-related deficiencies

It is known to lower the risks of heart disease by improving cholesterol levels in the blood, thereby protecting against the possibility of stroke and high blood pressure

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We also see many individuals who follow strict vegetarian or vegan diets, which can increase the risk of B12 deficiency due to limited intake of animal-derived foods

Several specific groups warrant additional consideration before starting or continuing treatment