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[2] Patients should contact their GP if they experience: Side effects from B12 injections (though these are rare and usually mild) Difficulty attending scheduled injection appointments, as missed doses may lead to symptom recurrence New symptoms developing during treatment Concerns about treatment effectiveness or duration Changes in other medications that might affect B12 absorption Suspected adverse reactions to B12 treatment can be reported through the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk)

[1] [2] Two honest caveats sit on top of that

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While spirulina, dried nori, barley grass and most other seaweeds contain some B12 (dirt even contains some), consuming these foods hasnt been shown to provide enough B12 to vegans