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A provider will typically: Ask about your symptoms and medical history Request a recent blood test to check B12 levels Evaluate whether injections are appropriate If B12 shots are recommended, the provider can issue a prescription, which you can fill at a local pharmacy or through a telehealth pharmacy that ships to you

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Also searched were the Agency for Healthcare Research and Quality evidence reports, the Cochrane database, the National Guideline Clearinghouse, Essential Evidence Plus, and UpToDate

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