Vitamin B12 shots are great for boosting energy levels and preventing fatigue
Reduce semaglutide dose back to 0.25 mg to improve tolerance
Once your GP establishes the need for ongoing therapy and you complete training, they can issue a repeat prescription for hydroxocobalamin ampoules and injection supplies, which you collect from community pharmacies
How it works: Your fat cells overproduce an enzyme called NNMT that promotes fat storage
Seek prompt medical advice if you experience: Severe or rapidly worsening joint pain that significantly impairs function or mobility A hot, swollen, very painful joint with fever this could indicate septic arthritis requiring SAME-DAY emergency hospital assessment Symptoms of severe allergic reaction after B12 injection (breathing difficulty, facial/tongue swelling, widespread hives, dizziness/collapse) call 999 immediately Systemic symptoms such as unexplained weight loss, night sweats, or profound fatigue Neurological symptoms including weakness, numbness, balance problems, or cognitive changes Symptoms affecting multiple joints simultaneously, particularly if symmetrical (both hands, both knees) Morning stiffness lasting more than 30 minutes , which may suggest inflammatory arthritis Your GP will conduct a thorough clinical assessment, including detailed history-taking and physical examination
It turns a vague chat about symptoms into a focused, evidence-based discussion, helping you get the support you need sooner
