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If you dont consume much vitamin B12 in your diet, or if your absorption rates are low, you should take a vitamin B12 supplement to keep your cardiovascular system functioning well and prevent conditions like heart disease and stroke

Patient support There are several organisations that patients can be signposted to: Acknowledgements The authors would like to thank Shiva T Radhakrishnan, clinical research fellow (IBD), Imperial College Healthcare NHS Trust, for his support and guidance in writing this article

Medical Necessity: If prescribed by your physician for a diagnosed B12 deficiency, insurance coverage may be available

Do a physical examination

Once punctured (if in a multi-dose vial), keep refrigerated and discard after the expiration or beyond-use date provided by the pharmacy