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It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as:_ Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g

Step 3 Place the tip of the drawing needle in the bottom of the ampoule

Other benefits of vitamin B-12 include increased energy, better sleep, and an increased feeling of awareness

Thread about Patient Safety, has links that may be useful for those in UK having difficult health experiences with B12 deficiency