We have a duty of care to protect patients, their families and the wider community as much as possible, so risks and benefits of any face-to-face work is being carefully assessed. Our local Consultant Haematologist and the British Society of Haematology have confirmed that for stable patients missing one to two 3 monthly injections of vitamin B12 is unlikely to cause any problems and would potentially be more harmful in terms of the risk of contraction of COVID-19.
Patients can be reassured that liver stores last for one year and hence B12 levels will NOT be affected if one to two 3 monthly injections are omitted. The recommendation is that doses should be omitted until the COVID-19 surge has passed.
Advice is that patients who report symptoms, oral vitamin B12 can be offered as an alternative. If still very symptomatic then a vitamin B12 injection could be given at the surgery so long as patients understand the associated risk of COVID-19 with any healthcare staff contact
We thank you for your understanding during these difficult times.