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This can happen due to various reasons such as poor diet, absorption issues, or certain medical conditions

Testing for intrinsic factor antibodies or trying high-dose sublingual B12 for 8 weeks can quickly tell you if shots are your only option

Since the body cannot produce vitamin B12 itself, it is dependent on absorption through food

Thiamine (B1) Thiamine is a B-vitamin that helps to breakdown and convert carbohydrates into energy

Make sure to warn the healthcare professional if you have a history of fainting during such procedures or if you have problems with your coagulation

The tissue usually recovers, but continued injection into affected areas makes it worse