side effects of not having b12 injection Are Shots Safe? Royal Palm Beach Medical Group 3 monthly injections : r/B12_Deficiency

To prevent this, use the smallest gauge needle practical for drawing doses (29-31 gauge insulin needles), always insert the needle straight (not at an angle), and try to puncture the same spot on the stopper each time rather than creating new holes across the surface

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Chronic poor nutrition: In dogs that have had inadequate diets over extended periods, the combination of low dietary B12 and a compromised gut from malnutrition can contribute to deficiency

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Pernicious anemia , where the body cant absorb B12, is a main reason

If you take very high doses of vitamin C, your body might absorb too much iron