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However, hydroxocobalamin injections can cause a harmless pink or red discolouration of urine

Sterile technique: Always use new, sterile insulin syringes for each injection

But age, gastrointestinal issues, or other factors might prevent you from getting enough B12 from your daily diet

This can be done through oral supplements, B12 injections, or even intravenous therapy for more severe cases

Some compounding pharmacies may stock it, but availability is inconsistent and may require a prescription or practitioner affiliation

Tirzepatide (Mounjaro) a dual GIP/GLP-1 receptor agonist with MHRA approval for weight management, assessed in NICE technology appraisal TA1026