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If the GP says that she doesn't have macrocytic anaemia so doesn't need this pattern of treatment, you could point out that NICE guidelines for B12 deficiency say that "Note: clinical features of vitamin B12 deficiency can occur without anaemia and without low serum levels of vitamin B12." cks.nice.org.uk/topics/anae

BMC Pharmacol Toxicol 27 , 59 (2026)

It has interaction with vitamin b12 injection for cats, as both have influence upon red blood cell production so must not be used together

At Allure Medspa, I first assess the patients skin type, pigmentation pattern, medical history, lifestyle, and expectations before recommending any route