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First, routine screening for vitamin B12 deficiency should be incorporated into primary care for high-risk populations such as older adults, women of reproductive age, vegetarians, and patients with diabetes or chronic use of metformin or proton pump inhibitors

These shots keep Vitamin B12 levels good and stop deficiency from coming back

Oral B12 can work for mild deficiency but is ineffective when the absorption mechanism itself is impaired

People with pernicious anemia, diabetes, and other diseases may occasionally utilize methylcobalamin

What matters most is consistent technique, proper subcutaneous placement, and adherence to your dosing schedule

doi:10.1515/CCLM.2007.362