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However, some people have genetic or medical conditions that prevent their bodies from meeting the necessary amount

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

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Leslie Greenbergs Blog The standard dosing protocol for vitamin b12 injection for dogs is defined as follows: Initially 250-1000mcg vitamin b12 is recommended according to size of dog

The powder may have been damaged during shipping (exposure to heat or excessive vibration) or may have a manufacturing defect