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With such sufficient consumption, factors such as gastritis, antacid drugs, ageing stomach changes and gut surgery would still prevent your body from utilising B12, leading to fatigue and lack of energy

Even if dietary intake is sufficient

Pharmacies with immunization services may also provide supervised B12 injections after an online consultation. At locations such as CVS MinuteClinic, licensed providers review your medical history, confirm that B12 injections are appropriate, and then administer the injection on site. This option can be convenient for patients who need ongoing injections and prefer easy access, extended hours, and transparent pricing

This patient is clearly on their knees in deficiency stakes, however they were unlucky enough to see a doctor who didnt think it necessary to treat this level and made them wait to be retested three weeks later