and that's because the symptoms may be associated with vitamin B12 deficiency rather than the hormonal changes associated with perimenopause and menopause
Contact your GP if: You have been found to have elevated B12 levels and have not received an explanation or follow-up plan You are taking high-dose B12 supplements without medical supervision You develop new symptoms whilst taking B12 supplements, particularly skin changes, persistent headaches, or gastrointestinal symptoms You have risk factors for liver disease (alcohol excess, viral hepatitis, obesity) and have elevated B12 You experience unexplained weight loss, night sweats, or persistent fatigue alongside elevated B12 Seek urgent medical attention if you experience: Jaundice (yellowing of skin or eyes) Severe abdominal pain or swelling Unexplained bruising or bleeding Confusion or altered consciousness Severe, persistent vomiting These symptoms may indicate serious underlying conditions such as acute liver failure, haematological emergencies, or other critical illness requiring immediate assessment
Although each individual vitamin performs a different function in the body, they all work together to maintain good health
We recommend vitamin B12 injections for people aged 18 and above, who may experience low energy levels, brain fog, or other associated symptoms
The General Medical Council and Nursing and Midwifery Council provide registers to check healthcare professional credentials before undergoing any injectable treatment
