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If the circulating B12 exceeds the binding capacity of the blood, the excess is excreted in the urine

If you have been diagnosed with vitamin B12 deficiency, it's likely your doctor will initially prescribe injections to boost up your levels

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White blood cells A low white blood cell count can increase your risk of infection

This will be more comfortable Keep the needle still while injecting to avoid snapping it Further Information For further advice and information about your condition, please choose from the following: NHS Patient Choices website: www.nhs.uk Making Lives Better patient website: www.patient.info Telephone NHS 111 Contact your General Practitioner Contact details The James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW Telephone: 01642 850850 The Friarage, Northallerton, North Yorkshire, DL6 1JG Telephone: 01609 779911 Redcar Primary Care Hospital, West Dyke Road, Redcar, TS10 4NW Telephone: 01642 511000 If you have any medical concerns or need advice please contact 111, for further information regarding this leaflet please contact: [email protected] This email will be monitored 9am until 4pm Monday to Friday

Mechanical manipulation may stimulate keratinocytes to produce VEGF