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These include: Meat, fish, and poultry Dairy products, such as milk and cheese Eggs Fortified breakfast cereals Fortified soy products What not to eat in Pernicious Anemia

Injection-Site Reactions Soreness or tenderness at the injection site, typically lasting a few hours to a day Minor redness or swelling that usually resolves within 24 hours Slight bruising , more common if the client is taking blood thinners or supplements like fish oil Mild itching around the injection area, which is generally transient These are common responses to any subcutaneous injection, not reactions specific to lipotropic formulas

Its important to note that while NICE guidelines are influential, they are not legally binding

B12 shots for malabsorption or dietary restriction Vegans, vegetarians, older adults, and people with GI conditions (Crohn's disease, celiac disease, pernicious anemia) commonly have inadequate B12 absorption

Also, the healthcare provider will determine the appropriate B12 dosage, depending on the current medical condition and diet