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People with symptoms of vitamin B12 deficiency It is a good idea for anyone with the following signs and symptoms of a vitamin B12 deficiency or pernicious anemia to consult a doctor: People with gastrointestinal issues Conditions that affect the gastrointestinal tract may affect vitamin B12 release or absorption, including: pernicious anemia, which can lead to gastric atrophy, or damage to the stomach fish tapeworm infestation bowel or pancreatic cancer folic acid deficiency overgrowth of bacteria in the small intestine diabetes thyroid disease Crohns disease celiac disease chronic pancreatitis People who have undergone gastrointestinal surgery, including weight loss, may have fewer cells necessary to secrete stomach acid and intrinsic factor
Patients being treated for gout should therefore be monitored for changes in uric acid if receiving high-dose B
PMCID: PMC9037278
In contrast, B12 injections go directly into the bloodstream
The main thing is to keep up with treatment and watch closely for the best results
Wear gloves and sanitize the vial with an alcohol-soaked cotton ball
