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This method is particularly effective for patients who have difficulty absorbing B12 from food or pills due to conditions like pernicious anemia, Crohns disease, celiac disease, or post-gastrointestinal surgery

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The instructions for how to do an injection were easy to understand

Recheck at 4 to 6 weeks, escalate to IM if not rising adequately

Symptoms can include: Muscle weakness or cramping Irregular heartbeat Unusual tiredness

That's why dermatologists often recommend checking for nutritional deficiencies before spending thousands on supplements that may not even be necessary