different kinds of b12 injections vs Pills: Richmond's Complete Guide Vitamin B12 for Injection Cyanocobalamin

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This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation

Mixing this with steroid injections can make things worse

As with vegetarians, vegans can avoid this by consuming a dietary supplement or eating B 12 fortified food such as cereal, plant-based milks, and nutritional yeast as a regular part of their diet