dosage b12 injection and Frequency: 7 Guidelines for Adults VITAMIN B12 INJECTION 3000 mcg

Additional at-risk groups include: Vegans and strict vegetarians , who may have low dietary B12 intake People with autoimmune conditions , including pernicious anaemia or type 1 diabetes Individuals with gastrointestinal conditions such as Crohn's disease or coeliac disease, which impair nutrient absorption People who have undergone bariatric surgery , which can significantly reduce B12 absorption Long-term users of proton pump inhibitors (PPIs) or H2-receptor antagonists , which reduce gastric acid and impair B12 release from food Those with a family history of either pernicious anaemia or diabetes For these groups, simultaneous monitoring of B12 status and glycaemic markers is particularly important to avoid diagnostic errors

As discussed, GLP-1 therapy creates a real risk of B12 depletion over time

How to treat pernicious anemia

Uncertainty is high in early phase research, so not every trial pans outbut the potential trade-offs are sometimes worth it for those hit hardest by SSRIs/SNRIs