You should seek prompt advice from your bariatric team or GP if you experience any of the following after starting a new supplement: Nausea, vomiting, or abdominal discomfort that is new or worsening Symptoms of hypoglycaemia , such as shakiness, sweating, confusion, or palpitations particularly if you take diabetes medicines Unusual fatigue, dizziness, or neurological symptoms , which may indicate a nutritional imbalance Changes in bowel habit or symptoms suggestive of dumping syndrome Any new or unexplained symptoms that coincide with starting the supplement Seek urgent medical attention or contact NHS 111 if you experience persistent vomiting or are unable to keep fluids down for more than 24 hours, severe abdominal pain, fever, or any neurological symptoms such as confusion, visual disturbance, or difficulty with coordination
It has been shown that the observed use of vitamin B12 in general practice in England and Wales greatly exceeds its expected use and that it is widely prescribed by general practitioners for non-specific indications
2 mut/Mb in PDTCs and 16.5 vs
If your journey exceeds several hours, particularly on long-haul flights, consider using a portable medication cooler with temperature monitoring
