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Some individuals are more likely to benefit from B12 injections, especially if they: Follow a vegan or vegetarian diet Experience digestive or absorption disorders (e.g., Crohns, IBS, low stomach acid) Are aging adults , as natural absorption declines with age Take medications that interfere with B12 levels, such as metformin or acid reducers How Often Are Injections Needed

Limitations The opinions stated in this article are those of the authors and do not represent the viewpoint of Milliman

Knowing you need approximately one 10mg vial every 1.25 weeks at the 8mg dose means you need roughly 3.5 vials for a four-week maintenance block

Imaging studies, such as ultrasounds or CT scans, can provide a clearer picture of the hernia's size and location, aiding in treatment decisions

Int J Mol Sci (2017) 18(12):2713

doi:10.1186/1471-2377-11-139 Tirouvanziam R, Obukhanych TV, Laval J, Aronov PA, Libove R, Banerjee AG, Parker KJ, O'Hara R, Herzenberg LA, Herzenberg LA, Hardan AY: Distinct plasma profile of polar neutral amino acids, leucine and glutamate in children with autism spectrum disorders