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A prescription or Letter of Medical Necessity may be required

B12 shots are given intramuscularly in the upper arm, and take very little time

You may need B12 injections if you: Have been diagnosed with pernicious anemia Have gastrointestinal issues (e.g., Crohns disease, celiac disease, or after bariatric surgery) Follow a strict vegan or vegetarian diet without adequate supplementation Are over the age of 50, as absorption decreases with age Take certain medications that interfere with B12 absorption Have chronic fatigue, memory issues, or nerve problems due to B12 deficiency

Add the diluent slowly down the inside wall of the vial rather than directly onto the lyophilized powder, and let it dissolve without vigorous shaking