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If your blood levels are lower than 200pg/mL or if you are diagnosed with pernicious anemia, your doctor may recommend B12 supplementation via injection

The bodys ability to absorb B12 decreases with age and can be affected by certain medications and prescriptions

Additives, only the manufacturers might know about how long they work in various situations

At Reflections, the physicians used blunt tipped instruments called cannulas to inject, as this is a more comfortable, less traumatic means of injections