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Signs that may mean you need Vitamin B12 injections include fatigue, weakness, and neurological changes

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Testing should include mass spectrometry confirmation of molecular identity, HPLC purity analysis, and bacterial endotoxin screening

Lisa Smart, Liberal Democrat MP for Hazel Grove, asked the Secretary of State for Health and Social Care, what steps his department is taking to improve the diagnosis of vitamin B12 deficiency and reduce the number of cases misdiagnosed as (a) dementia, (b) chronic fatigue syndrome, and (c) psychiatric conditions

These trials included both single-dose pharmacokinetic studies and long-term efficacy trials extending up to 24 weeks of continuous administration