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Here are the main steps: Choose the right spot for the injection, like the deltoid or gluteal muscle

I will get labs done again next month (Dec) to see if the intrinsic factor is there/if it is indeed PA

Deviating from that schedule either skipping shots or getting too many can reduce effectiveness and increase the risk of side effects

Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease

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