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Administering an Intramuscular Injection Wash your hands and clean the injection area with Push back or remove any clothes that cover the injection site so the bare skin is exposed and accessible

Medications: Some drugs, like proton pump inhibitors and metformin, can block B12 absorption

It can be administered intramuscularly at a 90-degree angle or intravenously by a licensed professional

People with symptoms of vitamin B12 deficiency It is a good idea for anyone with the following signs and symptoms of a vitamin B12 deficiency or pernicious anemia to consult a doctor: People with gastrointestinal issues Conditions that affect the gastrointestinal tract may affect vitamin B12 release or absorption, including: pernicious anemia, which can lead to gastric atrophy, or damage to the stomach fish tapeworm infestation bowel or pancreatic cancer folic acid deficiency overgrowth of bacteria in the small intestine diabetes thyroid disease Crohns disease celiac disease chronic pancreatitis People who have undergone gastrointestinal surgery, including weight loss, may have fewer cells necessary to secrete stomach acid and intrinsic factor