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Self-administered B12 shots are generally recommended for individuals: whose bloodwork has documented low B12 levels Patients with pernicious anemia or a lack of intrinsic factor Individuals with Crohn's disease, celiac disease, or post-bariatric surgery malabsorption Vegans and strict vegetarians are unable to correct the deficiency through diet Older adults whose stomach acid production has declined with age Anyone on long-term metformin or proton pump inhibitors Across most of the U.S., injectable B12 is not sold over the counter a clinician has to write the script before a pharmacy can dispense it

An incision is made and a 3 cm x 5 cm fascia graft is obtained from the patient's left thigh and is used to temporarily replace the cranium over the pressure device

It is safer to replace the vial instead of the danger of contamination

Autoimmune conditions like Pernicious Anemia damage the stomach lining, reducing intrinsic factor production