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It does not affect insulin or IGF-1 levels and is well tolerated by most patients

Contact your GP immediately, call NHS 111, or attend A&E if you develop: Irregular heartbeat or palpitations that persist Chest pain or pressure Severe breathlessness Significant leg swelling These symptoms require assessment to determine their cause, which may or may not be related to your B12 treatment

If sleep problems develop during use, consider other factors such as stress, caffeine intake, exercise timing, or the psychological effects of any new health regimen

This typically improves as treatment continues and should be discussed with your healthcare professional if persistent

Injectable B12 delivers the vitamin directly into your bloodstream, bypassing the digestive system