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[2] Patients should contact their GP if they experience: Side effects from B12 injections (though these are rare and usually mild) Difficulty attending scheduled injection appointments, as missed doses may lead to symptom recurrence New symptoms developing during treatment Concerns about treatment effectiveness or duration Changes in other medications that might affect B12 absorption Suspected adverse reactions to B12 treatment can be reported through the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk)

Approved medications and provider-guided programs have clearer clinical pathways, safety monitoring, and prescribing standards

However, white blood cells are prone to produce ROS during the process of fighting against viruses, which may lead to DNA damage

Delhanty PJ, van der Eerden BC, van der Velde M, et al

1 Department of Toxicology, Zhejiang University School of Medicine and Public Health, Hangzhou 310058, Zhejiang, China

Footnotes Authors Contributions: For research articles with several authors, a short paragraph specifying their individual contributions must be provided