b12 injection substitute How to Self-Inject Vitamin at Home B-12 (Methylcobalamin) Therapy | MedClub

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Reference lists of included studies and relevant reviews were screened manually to identify additional eligible studies

the first lab may measure and report a value of 220 pmol/l, and a different lab may measure and report 380 pmol/l, again in the same blood sample (!) There is day-to-day variation of serum B12

Requires intramuscular injections (though SubQ use is becoming more common)

Alcohol abuse, aging, smoking, diabetes, thyroid disorders, medications such as antacids and Type 2 Diabetes medications as well as gastric bypass surgery can all affect your absorption levels