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For example, cyanocobalamin can be risky for people with a condition called Leber's disease, as it might harm the optic nerve
For pernicious anemia, you may have to use Vitamin B12 injection for the rest of your life
How to Switch from Pills to Injections If you have been taking oral supplements but still feel tired, foggy, or "off," it may be worth reevaluating, ideally starting with a test rather than a guess
Individuals most likely to benefit include: Those with pernicious anemia People with gastrointestinal disorders (e.g., Crohns disease, celiac disease, chronic gastritis) Patients following bariatric (weight loss) surgery Older adults with absorption difficulties Strict vegetarians or vegans at risk for deficiency People taking medications that can decrease vitamin B12 levels Laboratory testing usually confirms B12 deficiency before starting injections
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