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Manufactured under controlled conditions with focus on purity, consistency, and traceability according to our rigorous quality testing standards

[16] [17] The term "pernicious" means "deadly", and this term came into use because, before the availability of treatment, the disease was often fatal

The interaction very rarely results in a pernicious anemia that appears reversible with discontinuation of metformin or with Methylcobalamin, vitamin B12 supplementation

Whilst B12 injections (hydroxocobalamin) are licensed NHS medicines for treating confirmed deficiency states such as pernicious anaemia, lipotropic injections lack MHRA marketing authorisation and robust clinical evidence