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What b12 injections does not do: it does not replace surgical correction in patients who genuinely need a surgical solution, it does not stop the underlying aging cascade (collagen loss, bone resorption, fat pad descent, hormonal shifts in perimenopause), and it does not work identically on every Fitzpatrick skin type

Are there any risks associated with long-term B12 injection therapy

Summary: Vitamin B12 shots with lipotropics are unlicensed injectable combinations that lack robust clinical evidence for weight management and are not routinely prescribed within the NHS

Women with pernicious anaemia or other absorption disorders require ongoing specialist input throughout pregnancy