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Signs You May Be Low in Vitamin B12 Persistent tiredness or lack of energy Brain fog or poor concentration Low mood, irritability, or anxiety Pale skin or dark under-eye circles Frequent headaches or dizziness Pins and needles or numbness in hands and feet Weak immune response Difficulty sleeping A deficiency in B12 is particularly common among vegetarians, vegans, people with digestive disorders, or those with high-stress lifestyles
Uses for Cyanocobalamin Cyanocobalamin is indicated for vitamin B 12 deficiencies due to malabsorption which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacteria overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see DRUG INTERACTIONS ), use of a gluten-free diet in non tropical sprue, or administration of antibiotics in tropical sprue
Understanding Risks and Contraindications in B-12 Injection Therapy Informed consent depends on clear, honest communication about what can go wrong
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