b12 monthly injections methylcobalamin injectable 30ml vial Vitamin B12 Injection Dose: Typical Dosages & Administration Methods Vitamin B12 Injection - 10mL

Use a permanent marker

One concern is that, if pre-cancerous cells are already present, very high availability of growth-supporting nutrients such as B12 could, in theory, support their growth too

B12 testing is recommended in patients with fatty liver disease who have: Symptoms suggestive of deficiency (anaemia, neuropathy, cognitive changes) Long-term metformin use (MHRA 2022 guidance advises monitoring) Long-term proton pump inhibitor use Vegetarian or vegan diets Conditions affecting absorption (pernicious anaemia, coeliac disease, gastric surgery) Advanced liver disease (NASH, fibrosis, or cirrhosis) Monitoring frequency should be individualised based on disease severity and risk factors

The treatment starts with a big dose, then smaller doses are given regularly