Rosen M.D., Chester County Rheumatology PC Thanks to all those wonderful people in the NORM Network who respond to emails, offering their advice, experience, time, and support
Important factors include: Formulary status : If the Vitamin B12 injection is on the insurance list
How Often Should You Get B Complex Injections
This length is sufficient to bypass the subcutaneous layer and deliver the B12 directly into the muscle
Other groups who may benefit include: Patients following gastric surgery (gastrectomy, bariatric procedures) where intrinsic factor production or absorption sites are compromised Individuals with malabsorption disorders such as Crohn's disease, coeliac disease, or chronic pancreatitis Strict vegans and vegetarians with dietary insufficiency, though oral supplementation is usually tried first Elderly patients with atrophic gastritis or reduced gastric acid production Patients on long-term metformin or proton pump inhibitors, which can impair B12 absorption Individuals with nitrous oxide exposure (recreational or medical), which can cause functional B12 deficiency Diagnosis typically involves serum B12 measurement, with levels below approximately 148 pmol/L (though thresholds vary between laboratories) generally indicating deficiency
Reversing vitamin B12 deficiency is possible using this frequency