is injection necessary for b12 deficiency does a make you tired Feeling tired, foggy, or run-down? It could be B12 Shots: Vitamin B12 Injections

Remember, supplements work best when you live an active lifestyle that incorporates diet and exercise

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23 , 99112 Two RCTs 99 , 110 and 5 meta-analyses 23 , 100102 , 109 reported benefits of vitamin B 12 supplementation in methylcobalamin (0.51 mg orally or local injection for 2 weeks to 1 year) and cyanocobalamin (2000 mg orally or 11000 mg via intramuscular route for 90 days and 4 months) forms

Most of our patients on metformin with B12 deficiency will fall into the not diet-related category and, therefore, many will eventually require intramuscular replacement