They include: Fatigue and weakness Shortness of breath Pale or yellowish skin Neurological changes, such as numbness or tingling in the hands and feet These symptoms can really affect your life
This means they need more aggressive treatment
People who take certain medications may also be at risk of vitamin B12 deficiency, including, but not limited to, estrogen, H2 receptor antagonists, PPIs (Proton Pump Inhibitors), Chloramphenicol, and Metformin
Injection sites include the abdomen, thigh, and upper arm
If no improvement appears after six months of consistent use, consider whether the protocol needs modification