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I've brought this up before on this forum and got all the same kind of advice you got, and I do everything properly, and I've been doing it once or twice a week for years, so for me it's just become a fact of life that it's going to hurt

In UK practice, monitoring is primarily based on clinical response rather than routine blood tests

Definitely lost at least 5 pounds in 1 month

If Vitamin B12 deficiency is ignored: It can lead to permanent nerve damage May result in mental confusion or dementia Muscles may weaken over time It can increase heart-related risks The problem usually starts slowly and is often ignored until it becomes serious