Deficiency leads to methylmalonic acid accumulation, which may incorporate abnormal fatty acids into myelin, further compromising nerve function
Vitamin B12 E-Manual (Comprehensive Training Guide) A detailed, clinic-ready manual covering health & safety legislation, anatomy and physiology, vitamin science, consultation guidance, contraindications, injection technique, dosages, aftercare advice and professional standards to support safe and effective practice
They also look at your symptoms and how you respond to treatment
If you can't find the local guidelines online, best bet is probably to submit a FOI (Freedom of Information) request to your ICB/Health board asking which B12 deficiency guidelines they are using and for a link to or copy of them