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NICE guidelines say you should be offered a test if you have at least one symptom or sign and one or more risk factors for the condition

Maintain aseptic handling to preserve compound integrity

While they are safe for almost everyone, some contraindications include those who are breastfeeding or pregnant, or who may have an allergy or sensitivity to any of the ingredients included in the shot

Whilst B12 injections have a well-established clinical role in treating deficiency states such as pernicious anaemia, malabsorption syndromes, and certain dietary deficiencies, lipotropic injections lack the same evidence base and regulatory approval