how do you know if you need b12 injections What are the Signs of Deficiency Are B12 Shots Safe? Royal

5 Furthermore, the anaerobic metabolism of Propionibacterum acnes is vitamin B12 dependent

Malabsorption Disorders: Conditions such as pernicious anemia, Crohns disease, celiac disease, or a history of gastric bypass surgery can hinder B12 absorption

Pain 147 , 122127 (2009)

A patient with unexplained fatigue should be worked up, not injected masking a B12 deficiency of unclear cause, or an unexamined thyroid problem, with a monthly shot is a real clinical risk

Medical authorities state that less than 1.5ml can be given comfortably and anything greater than 2ml causes pressure on the surrounding tissues causing pain

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