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Doctors say, The choice of how to give B12 depends on the patients health and what they need. How Administration Route Affects Dosing The way B12 shots are given changes how often you need them

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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

If you're deficient in vitamin B12, your neurons won't be able to adequately repair their sheaths or develop new ones as they expand