It is not uncommon for strict vegans to suffer from a B12 deficiency
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The active ingredient is identical, but compounded versions lack the large-scale clinical trial data, standardized manufacturing processes, and regulatory oversight that brand-name products undergo
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In these cases, your GP should arrange intramuscular hydroxocobalamin injections according to NICE guidelines, with the regimen depending on whether neurological symptoms are present (as detailed in the previous section)
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