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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

A vegetarian diet which contains no animal products (including milk products or eggs) does not supply any vitamin B12

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The following resources are now available to read on WADAs website: The full 2024 Prohibited List The WADA 2024 Summary of Major Modifications and Explanatory Notes The 2024 Monitoring Programme which includes substances not currently on the Prohibited List, but are being monitored by WADA for potential patterns of misuse in sport