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Bacteriostatic water isnt like regular water

This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation

Round to the nearest half or whole unit you can read reliably, or reconstitute with a different amount of water so the dose lands on an easier mark

It also reviews research comparing oral and injectable delivery methods and outlines factors clinicians may consider when discussing compounded formulations

Atrophic gastritis, a condition that depletes stomach acid, also reduces B12 absorption

Please call your doctor if you have any further concerns or questions