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Situations or conditions that can cause vitamin B12 deficiency include: You are more likely to develop vitamin B12 deficiency if you have one or more of the following risk factors: Left untreated, vitamin B12 deficiency can cause lasting side effects that affect your nervous system and brain

You can also order B12 shots online through Defy Medicals convenient patient portal and administer the injections yourself

Patients and healthcare professionals should report any suspected side effects, adverse reactions, or defective or falsified products to the MHRA via the Yellow Card scheme (available at yellowcard.mhra.gov.uk)

Metformin and reduced vitamin B12 levels: new advice for monitoring patients at risk