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Communicate with your prescriber about any concerns

The right type depends on the patients health, how severe their deficiency is, and the doctors advice

Since the body does not manufacture it, the only way to get it is through diet and/or supplementation

This includes vegans and vegetarians, older adults, individuals with atrophic gastritis, pernicious anemia, gastrointestinal disorders, those who have had gastrointestinal surgery and people who take certain medications including, but not limited to, estrogen (HRT), and birth control pills

If you are over the age of 70 or have pre-existing conditions such as diabetes, chronic lung disease or asthma, serious heart conditions, are immunocompromised, or have chronic kidney or liver disease, we recommend you do not visit the office at his time

Using an insulin syringe, draw the calculated volume of bacteriostatic water (typically 2 mL)