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All three lines are required for full reimbursement

(More information) The long-term use of certain medications, such as inhibitors of stomach acid secretion and the anti-diabetes drug, metformin, can adversely affect vitamin B 12 absorption

What's Better, B12 Shots Or Pills

Imagine adding 10 mL to a 2 mg vial

coeliac) Infections & surgical interventions Pregnancy & neonates Pharmaceutical interactions Nitrous oxide abuse Age greater than 65 years Signs and symptoms of B12 deficiency Anaemia (weakness, tiredness, dyspnoea on exertion) Gastrointestinal (loss of appetite, sore tongue and mouth, epigastric discomfort, nausea, vomiting, heartburn) Neurological (numbness, pins and needles, impaired fine finger movements) Developmental delay in infants Positive Rombergs sign Impaired vibration or position sense, impaired vision Orthostatic dizziness Loss of taste or smell Psychological & psychiatric disturbance When to test for B12 deficiency If a patient has at least 1 risk factor and 1 or more signs, then B12 assessment is warranted

In less deficient areas, repeat dose every 5 - 6 months or as necessary