[4] In patients with cyanide poisoning, hydroxocobalamin also acts as an antidote by binding to cyanide ions with high affinity to form nontoxic cyanocobalamin
Those with diseases that affect the gut, such as Crohns disease or celiac disease, are also at risk ( Summary Those at greatest risk of vitamin B12 deficiency are vegans and vegetarians, who get little to no B12 from the diet
This happens because tirzepatide: helps people feel full sooner after eating reduces appetite slows digestion Losing excess weight can improve many aspects of metabolic health, including blood sugar control, blood pressure, and cholesterol levels
Administering an Intramuscular Injection Wash your hands and clean the injection area with Push back or remove any clothes that cover the injection site so the bare skin is exposed and accessible
This position is supported by the NICE Guideline and at the end of 2025 we launched our freely accessible Pernicious Anaemia and B12 Deficiency education programme to the NHS community
It is often prescribed for individuals with pernicious anemia or other conditions that impair B absorption (for example, after gastric surgery or in certain digestive disorders)