Things that might lead to dose changes include how bad the deficiency was, if there are nerve symptoms, if theres ongoing trouble absorbing nutrients, and how each patient responds
People may be at an increased risk of B12 deficiency if they: Consume a vegans or strict vegetarian diet Have eating disorders such as anorexia or bulimia Take antacids or diabetes related drugs that may interfere with B12 absorption Have a history of alcoholism Have a family history of pernicious anaemia Are diagnosed with anaemia Have Crohns disease, irritable bowel or any disease causing malabsorption of nutrients Have an autoimmune disease, such as type 1 diabetes, SLE, Addisons disease Are women with a history of infertility or multiple miscarriages Each ml contains 1000mcg of hydroxocobalamin Injectable water Suitable for vegans and vegetarians
Testing for vitamin B12 or folate deficiency is not routinely included in blood work ordered at an annual physical exam
They concluded that B12 accumulation in the placenta may represent an important factor in providing sufficient amount of this essential nutrient to the fetus (Giugliani, 1985). Due to a lack of clinical trials and case reports examining non-daily doses of B12 in pregnant or breastfeeding women, perhaps non-daily injections can provide some insight
Possible side effects include mild irritation at the injection site, headaches, nausea, and others, depending on the specific peptide
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