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For patients with confirmed B12 deficiencywhether due to dietary restrictions, absorption issues, or conditions like pernicious anemiaB12 injections can be an effective way to quickly restore healthy levels
But if you have pernicious anemia (that is caused by a B12 deficiency) or have any other trouble absorbing B12, injections might be a good idea for you, Warren says
Advantages of oral form over IM injection: Less nursing time on injections Less complexity of care Less discomfort/pain Less bleeding in patients who take anticoagulants Less costly according to some analyses Disadvantages of oral form over IM injection:: Greater risk of non-compliance In 1991, a survey done on Minneapolis internists led one commentary to conclude that oral vitamin B 12 replacement for pernicious anemia was one of medicines best kept secret. 18 In 1996, when the survey was repeated again in the same area, awareness and use of oral vitamin B 12 for pernicious anemia had increased substantially (019%), but the majority of doctors still remain unaware of this treatment option (61%)
