They benefit people who have mild B12 shortages, feel tired because of a poor diet, or need daily nutritional help
Self-administered B12 shots are generally recommended for individuals: whose bloodwork has documented low B12 levels Patients with pernicious anemia or a lack of intrinsic factor Individuals with Crohn's disease, celiac disease, or post-bariatric surgery malabsorption Vegans and strict vegetarians are unable to correct the deficiency through diet Older adults whose stomach acid production has declined with age Anyone on long-term metformin or proton pump inhibitors Across most of the U.S., injectable B12 is not sold over the counter a clinician has to write the script before a pharmacy can dispense it
Administration is straightforward: subcutaneous injection with an insulin needle, once daily, self-administered at home
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Lyophilized: refrigerate at 28 C (35.646.4 F) or freeze at 20 C (4 F)