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If you are deficient in B12, a course of injections or high dose oral supplementation may be advised

Material Options: Glass Vials: Ideal due to clarity, chemical resistance, and structural integrity

These include: Autoimmune diseases, such as hypoparathyroidism, Graves disease, myasthenia gravis, and type 1 diabetes Crohns disease HIV Vitiligo Celiac disease Having part or all of your small intestine removed Small intestine bacterial overgrowth, a condition where you have harmful bacteria in your intestines that absorb all the B12 before your intestines can Other risk factors for pernicious anemia include: Scandinavian or Northern European ancestry Family history of PA Having gastric bypass surgery (used to treat obesity), which loses cells that absorb B12 Taking medications such as antacids or drugs that treat type 2 diabetes but make it harder for your body to absorb enough B12 Pernicious Anemia Symptoms Symptoms of pernicious anemia may take years to develop because your body can store 1,000 to 2,000 times as much B12 as you need in a day

Administered by intramuscular or subcutaneous injection

Your body keeps sensing a problem and sending the pain response, but without enough blood supply to drive real tissue remodeling, it just cycles

This is because injectable drugs do not encounter barriers like the gastrointestinal tract and are rapidly absorbed into the bloodstream