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Vitamin B12 injections are also used by people with impaired vitamin B12 absorption or deficiency called Pernicious anaemia caused by: Inadequate dietary intake of B12 Loss of gastric parietal cells in chronic atrophic gastritis Structural damage or surgical resection of the small intestine or stomach Long-term use of acid regulating medication Alcoholism Gastric banding surgery Celiacs disease Pernicious anaemia Crohns disease Until now, injection of methyl-B12 has required a needle

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Because these are intramuscular injections, some patients may experience mild and temporary side effects at the injection site, including: Soreness or tenderness Mild redness or swelling Minor bruising These symptoms are typically minimal and resolve quickly

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Document consent before treating and issue written aftercare afterwards