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Among them, mutations such as p.Lys44Glu and p.Glu320Gln in the SLC19A3 gene can manifest as WerNicke-like encephalopathy [59,60,61]

Vitamin B12 injections, typically hydroxocobalamin as recommended by NICE and the BNF, are prescribed for documented deficiency or malabsorption conditions rather than as general energy boosters

Certain medications can inhibit B12 absorption, including antibiotics, birth control pills, and proton pump inhibitors

Vitamin B12 injections help by directly delivering the nutrient into the bloodstream, bypassing absorption issues and quickly restoring optimal levels to improve energy, mood, and overall health

excessive intake of vitamin B12 can potentially lead to nerve damage or disrupt the balance of other essential nutrients in the body

Preventing Unsafe Injection Practices: multi-dose vial handling and beyond-use guidance