This impairment of DNA synthesis affects the rapidly dividing cells of the bone marrow earlier than other cells, resulting in the production of large, immature, hemoglobin-poor red blood cells (macrocytosis), as well as effects on white blood cells, including abnormal (hypersegmented) neutrophils and reduced overall cell counts (pancytopenia)
Whether short term or long, being on B12 might be easier for you if you learn how to self inject B12 and handle at home injections yourself
A healthy diet and lifestyle are important, but for many, B12 shots are needed to keep vitamin levels right. Healthcare providers can tailor a B12 shot schedule for you
[15] In practice, hydroxocobalamin injections achieve higher and more sustained vitamin B concentrations compared to cyanocobalamin
Vitamin B12 is a vital nutrient