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GPs can prescribe B12 injections following appropriate investigation, which should include: Full blood count to identify macrocytic anaemia Serum B12 and folate levels to confirm deficiency (using laboratory-specific reference ranges) Methylmalonic acid and/or homocysteine when B12 results are borderline Intrinsic factor antibodies if pernicious anaemia is suspected Additional tests depending on clinical presentation (e.g., thyroid function, coeliac serology) When both B12 and folate deficiency are present, B12 should be replaced before folate to avoid precipitating subacute combined degeneration of the spinal cord

Avoid the inner thigh and the area directly above the knee

Patients with comorbidities need tailored approaches to address their specific needs

You have an eye disorder called Leber's hereditary optic neuropathy (slow and painless loss of vision)

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Youre welcome to consult one of the team at TMA online via video call for an assessment of your injury and a tailored treatment plan