You may need B12 injections if you: Have been diagnosed with pernicious anemia Have gastrointestinal issues (e.g., Crohns disease, celiac disease, or after bariatric surgery) Follow a strict vegan or vegetarian diet without adequate supplementation Are over the age of 50, as absorption decreases with age Take certain medications that interfere with B12 absorption Have chronic fatigue, memory issues, or nerve problems due to B12 deficiency
They might also look at the bone marrow to see how megakaryocytes are doing
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Signs Your Injection Schedule Needs Adjustment Knowing when to change your B12 injection schedule is important
Fast injection creates a sudden bolus of fluid in the subcutaneous tissue, which causes pressure, stinging, and sometimes lump formation