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Other groups that are at a greater threat of having a vitamin B12 deficiency consist of cigarette smokers (given that nicotine could obstruct absorption), alcoholics, those with anemia, and any individual with a gastrointestinal condition like Celiac or Crohns illness

After the shoulder injection is complete, youll bend and straighten your shoulder several times to ensure that the injected fluid is distributed throughout the joint

Patients should discuss any allergies or medical conditions with their healthcare provider before starting MIC B12 injections

Injecting Vitamin B12 subcutaneously requires you to pinch the injection site before administering the shot

Order related labs such as: o Complete Blood Count (CBC) o Liver enzymes (AST, ALT, bilirubin) o Kidney function tests (creatinine, eGFR) o Methylmalonic acid (MMA) and homocysteine to check B12 activity