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Oral Supplements While oral supplements are a common method of increasing vitamin B12 levels, they may not be effective for everyone

We also suggested that, as was advocated by the RCGP a week or two earlier, that patients be instructed on how to self-administer their injections

Many patients experience significant improvement in symptoms within days of the first shot

Studies show that B12 deficiency is especially common in pregnant women , vegetarians , older adults , and people with digestive issues or chronic medication use , even in those who feel fine until they suddenly crash

Occasionally, patients may notice mild diarrhea, itching, or a brief sensation of warmth after the injection

General intake guidelines suggest that adults typically require modest amounts of both nutrients