Similarly, patients with bleeding disorders or those at high risk for bleeding complications may require careful evaluation before initiating peptide therapy
If severe B12 deficiency with neurological involvement is suspected, treatment should be initiated promptly without waiting for test results, and specialist advice may be needed
If you experience side effects that you suspect may be related to a medicine (such as metformin-associated B12 deficiency), you can report this through the MHRA Yellow Card Scheme
It should not be expected to reverse severe osteoarthritis, regrow advanced cartilage loss, correct major joint deformity, heal a complete tendon rupture without appropriate orthopedic management, or replace surgery when surgery is clearly indicated
Link: Chemical data source PubChem
B12 injections alone dont address any of those levers directly