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Do I need a blood test

These include post-operative infection, a complication arising like a foreign body left inside during a procedure, and complications arising during implants, grafts, and prosthetic devices

Certain health conditions such as intestinal or stomach problems, poor nutrition, cancer, HIV, pregnancy, old age, veganism, and alcoholism can cause vitamin B12 deficiency

Clean cotton balls or gauze pads should be applied to the injection site after the needle is withdrawn at the same angle that it was inserted

classified B12 as inactive by measuring the amount that wasnt bound by intrinsic factor, such that the particular inactive analogs they measured wouldnt present a problem for B12 metabolism

However, high dose oral vitamin B12 therapy can also be effective, provided that the dose is sufficient, medication adherence is good, and a response is documented