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declares having received consulting honoraria from ANI Pharmaceuticals, Boehringer Ingelheim, Eli Lilly, Merck, Novo Nordisk and Oramed, and stock options from AltPep

This is because the FDA regulates the testing and approval of drugs, but not how doctors use drugs to treat their patients

Pernicious anaemia (an autoimmune condition affecting B12 absorption) is a common cause of B12 deficiency that requires specific testing for anti-intrinsic factor antibodies

If your results show a mild deficiency and your GP confirms you dont have absorption issues, you can then try a high-dose sublingual spray for 3 months and re-test

When administered by a trained healthcare professional, B12 injections are widely used in UK medical practice and are generally considered safe