While most men tolerate B12 well, those with Lebers disease (a rare genetic eye disorder) should avoid injections, as high doses of B12 may worsen symptoms
You may wish to discuss testing with a healthcare professional if you: Experience ongoing unexplained fatigue Follow a vegan or vegetarian diet Have a history of gastrointestinal surgery or digestive conditions Have previously been diagnosed with low B12 Have symptoms such as numbness, tingling, or cognitive changes Testing helps determine whether B12 injections are appropriate or whether another cause should be investigated
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Older adults usually get the same dose as younger people, but need more watching for side effects
Post-Bariatric Surgery and Malabsorption Syndromes People who have had bariatric surgery or have malabsorption syndromes cant absorb vitamin B12 well
