are b12 injections given im or subq injection injection site for b12 Instruction Guide for Intramuscular (IM) Self- injection of B12 Methylcobalamin 1mg/5mg How to Give a B12

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Eur J Gen Pract 12

It should only be handled by qualified laboratory professionals and must not be misrepresented, misused, or mislabeled as a drug, food, cosmetic, or medical device

Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease

What's Happening: NAD+ restoration begins affecting mitochondrial function

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