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Serious Vitamin B12 deficiency can result in decreased number of red blood cells (anemia), stomach or intestinal diseases and permanent nerve damage

If several of these apply to you, its worth getting tested before starting any treatment

[64] Dietary recommendations [edit] Some research shows that most people in the United States and the United Kingdom consume sufficient vitamin B 12

B12 injections provide cyanocobalamin, a form of vitamin B12, to help treat or prevent low B12 levels

This is also where the supply-versus-stability point from the reconstitution section bites: if a reconstituted 10 mg vial holds ~66 doses but the solution is only reliably stable for a few weeks, plan the reconstitution volume so you are not left discarding drug you paid for