b12 injection is painful What happens if you inject wrong? Why Your Vitamin B12 Injection

Some practitioners implement cycling approaches (such as 12 weeks on, 4-8 weeks off), though no published research directly compares continuous versus cycled protocols

The 2024 NICE NG239 guideline on vitamin B12 deficiency in over-16s lists the main groups who need injections: Autoimmune gastritis (pernicious anaemia)

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This is a type of anemia that is often distinguished by the lack of an intrinsic factor

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So, if your vitamin B12 deficiency is due to an autoimmune disease in which your stomach doesn't make intrinsic factor, supplements might not work for you, and you will need injections