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Dizziness: Rare, but reported occasionally, especially if injecting without eating for extended periods afterward

With a fresh, unused syringe, pull back on the plunger to the amount you are injecting, bringing air into the syringe

Patients should rotate injection sites in the abdomen to avoid irritation and skin damage 6

A list of common conditions besides pernicious anemia associated with a B12 deficiency includes the following: Crohns disease Celiac disease Atrophic gastritis, otherwise known as a thinning of the stomach lining Bacteria or parasites in the intestines Immune system disorders, including Graves disease and lupus Inflammatory bowel disease (IBD) Medications Medications can also interfere with B12 absorption, such as some heartburn medicines and proton pump inhibitors prescribed to diabetics