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US department of agriculture and US department of health and human services, dietary guidelines for Americans,, 2
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
Reconstitution and administration instructions are part of the clinical guidance a provider gives a patient who has been evaluated and prescribed a compound
Your body may not be absorbing enough of this nutrient
Clinical laboratories generally define vitamin B12 deficiency as a serum level below 148 pmol/L (approximately 200 pg/mL)
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