The effects of vitamin supplementation and MTHFR (C677T) genotype on homocysteine-lowering and migraine disability
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

You will also need alcohol swabs for disinfection, bacteriostatic water for reconstitution (if using lyophilized powder), a sterile mixing syringe if reconstituting, and a sharps container for safe needle disposal
Vitamin B12 is an essential nutrient that plays a key role in keeping nerve cells healthy, producing red blood cells, and supporting DNA synthesis
Leading Manufacturer: Developed by Merck, a leader in vaccine technology
People with unexplained low platelets plus any of the following: iron deficiency, anemia, neuropathy, bone pain, chronic diarrhea or constipation, bloating, dermatitis herpetiformis, autoimmune thyroid disease, type 1 diabetes, or family history of celiac disease