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After talking with you and running blood tests, your doctor will determine when you have medical conditions that have either caused low ferritin levels or may affect your ability to raise them

For intramuscular B12 injections, a needle with a gauge of 22-25 and a length of 1-1.5 inches is typically recommended

for patients experiencing: Pernicious anemia, with or without nervous system involvement Dietary B12 deficiency, including strict vegetarians and vegans Malabsorption of B12 due to stomach or intestinal issues affecting intrinsic factor General B12 deficiency symptoms, such as fatigue or neurological changes Administration Dosing depends on the severity of the patients deficiency and their clinical response

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That difference is important because it reframes expectations and treatment goals