vitamin b12 injection im or sq Best Sites Is intramuscular (IM) administration of

You might also need to get treated for the condition that causes your anemia

Calculate your exact usage rate based on your vial dosage chart and order accordingly

It does not suddenly become poisonousjust less effective: Properly stored vitamins are likely safe past their expiration date for up to two years

Medications: acid-reflux drugs (PPIs) and some diabetes medications (such as metformin) can interfere with B12 absorption

There is a circular effect from emphysema (damaged air sacs in the lungs) causing shortness of breath that causes the heart to pump harder, which then creates pressure from blood vessels that pushes fluid into the lungs and makes breathing even more difficult