BSH guidance on Vit B12 replacement during COVID

Non-dietary vitamin B12 deficiency

• NICE 2019 RECOMMENDATION:

        Administer hydroxocobalamin 1mg intramuscularly every 2-3 months for life.

• BHS advice during the COVID-19 pandemic for patients established on intramuscular hydroxocobalamin

        The need for IM hydroxocobalamin should be discussed with each patient individually.

        As an alternative, oral cyanocobalamin can be offered at a dose of 1mg per day until regular IM

        hydrocobalamin can be resumed.

Diet related B12 deficiency 

• NICE 2019 RECOMMENDATION & BSH advice during COVID-19 pandemic:

        Advice peopl either to take oral cyanocobalamin tablets 50 -150 microgram daily between meals or have a twice-yearly hydroxocobalamin 1mg IM injection.

BSH guidance on Vit B12 replacement during COVID

Non-dietary vitamin B12 deficiency

• NICE 2019 RECOMMENDATION: Administer hydroxocobalamin 1mg intramuscularly every 2-3 months for life.
• BHS advice during the COVID-19 pandemic for patients established on intramuscular hydroxocobalamin: The need for IM hydroxocobalamin should be discussed with each patient individually. As an alternative, oral cyanocobalamin can be offered at a dose of 1mg per day until regular IM hydrocobalamin can be resumed.

Diet related B12 deficiency 

• NICE 2019 RECOMMENDATION & BSH advice during COVID-19 pandemic: Advice peopl either to take oral cyanocobalamin tablets 50 -150 microgram daily between meals or have a twice-yearly hydroxocobalamin 1mg IM injection.