Red blood cells carry oxygen around the body and help us to break down food and turn it into energy
Cyanocobalamin is available in liquid, tablet, nasal spray, and capsule form
Many of our patients at Royal Palm Beach Medical Group report feeling more energetic and less tired after starting B12 injections
The soft tissue over the lower back and hip has a generous fat pad and tends to be less sensitive
Bibcode:1957Sci...125..884B
Other groups who may benefit include: Patients following gastric surgery (gastrectomy, bariatric procedures) where intrinsic factor production or absorption sites are compromised Individuals with malabsorption disorders such as Crohn's disease, coeliac disease, or chronic pancreatitis Strict vegans and vegetarians with dietary insufficiency, though oral supplementation is usually tried first Elderly patients with atrophic gastritis or reduced gastric acid production Patients on long-term metformin or proton pump inhibitors, which can impair B12 absorption Individuals with nitrous oxide exposure (recreational or medical), which can cause functional B12 deficiency Diagnosis typically involves serum B12 measurement, with levels below approximately 148 pmol/L (though thresholds vary between laboratories) generally indicating deficiency
