It also depends on how the patient responds to the initial therapy
If you have a personal or family history of pernicious anemia, atrophic gastritis, or prior gastric surgery, injectable B12 (1,000 mcg intramuscularly every 412 weeks) may be more reliable
Hydroxocobalamin Injection by Actavis provides a potent, pharmaceutical-grade solution for rapid management of Vitamin B12 deficiency and sustained energy support
With a Doctor of Nursing Practice (DNP) degree and more than 20 years of experience in patient care, she combines clinical rigor with a passion for personalized wellness
Well also touch on who might need them and how long it takes for them to work
In summary, the reasons a GP surgery may refuse an early B12 injection are often rooted in a strict interpretation of established, but imperfect, guidelines, a misunderstanding of the actual science of B12 storage and metabolism, and a desire to maintain administrative consistency