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NICE Clinical Knowledge Summaries recommend B12 injections for: Pernicious anaemia an autoimmune condition affecting intrinsic factor production Malabsorption syndromes including coeliac disease and inflammatory bowel disease Post-surgical states particularly following gastrectomy or ileal resection Strict vegan diets when oral supplementation proves inadequate, though oral cyanocobalamin is usually sufficient for dietary deficiency Clinical trials demonstrate that B12 injections rapidly improve haematological parameters and neurological symptoms when deficiency is confirmed through blood tests

These purines are in foods like red meat, organ meats (like liver), seafood, sweet drinks, and alcohol

Science 348, 124128 (2015)

Rodent studies show that it modulates dopamine receptor sensitivity and can attenuate or potentiate the behavioral effects of dopaminergic drugs, including haloperidol and amphetamine