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When given by intramuscular injection, the dose bypasses the digestive tract and is absorbed reliably, which matters because dietary B12 absorption depends on stomach acid and a protein called intrinsic factor, both of which decline with age, medication and certain gut conditions

Your prescriber may consider factors like your routine, comfort with injection technique, and how your overall protocol is structured

Improved mental health: Another great benefit of these shots is their positive effects on brain function

Your doctor can run blood tests to know which vitamins and minerals are required, and you can also order blood tests on your own (sometimes cheaper that way)

Vitamin B12 (cobalamin) helps protect the myelin coating of the nerves, vitamin B6 (pyridoxine) is vital in the metabolism of nerve cells, and vitamin (thiamine) B1 is an on-site antioxidant

Adverse effects Allergic Reaction : Use caution in the management of patients with known anaphylactic reactions to hydroxocobalamin or cyanocobalamin