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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

The people most commonly recommended for B12 injections therapy include those who: Are aging Cannot metabolize food properly Do not eat animal products, i.e

Well review dose, timing, injection sites, and storage, and make sure youre comfortable before you start on your own

However, response times can vary based on the severity of the deficiency and individual health factors