This complex process means that conditions affecting the stomach or intestines can significantly impair B12 absorption, including pernicious anaemia, atrophic gastritis, previous gastric surgery, coeliac disease, Crohn's disease, and long-term use of certain medications (such as metformin, proton pump inhibitors, and H2 antagonists)
"Treatment of vitamin B12 deficiency Methylcobalamine
Vitamin B12 Cyanocobalamin Injection remains a critical intervention in managing vitamin B12 deficiencies, allowing for direct absorption and rapid correction
Pale or yellowish skin: A shortage of B12 hampers red blood cell production, fading your complexion or adding a hint of jaundice as anemia creeps in
Severe anemia and vitamin B12 deficiency: One ampoule intramuscularly every other day or every three days for 1-2 weeks, then one injection every 3 months