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Redness, itching, or mild irritation at the application site can occur, particularly during initial use or with higher concentrations
Common causes include: Pernicious anemia, an autoimmune disorder hindering Vitamin B12 absorption Gastrointestinal surgeries, like gastrectomy, impact Vitamin B12 uptake Long-term use of certain medications, such as metformin or proton pump inhibitors Diets lacking in Vitamin B12, often seen in vegans and vegetarians For those without a deficiency, Vitamin B12 injections are not typically recommended, as their body can naturally regulate and excrete excess amounts of the vitamin
The exact dose depends on the patients condition and how they respond to treatment
Diabetologia 57 , 129139 (2014)
For individuals experiencing chronic fatigue or low energy, evaluating B12 deficiency can be a crucial step
