Why do I need a B12 injection every 3 months?

You need a B12 injection every 3 months (or similar regular schedule) because your body isn't absorbing enough from food, often due to conditions like pernicious anemia, gastric issues, or age, requiring injections to bypass the digestive system and maintain essential nerve function, red blood cell production, and energy levels, preventing fatigue and potential nerve damage.

Why do I have to have B12 injections every 3 months?

This is because hydroxocobalamin stays in the body for longer. If you need regular injections of vitamin B12, cyanocobalamin would need to be given once a month, whereas hydroxocobalamin can be given every three months.

What illnesses cause B12 deficiency?

B12 deficiency is often caused by pernicious anemia (an autoimmune issue blocking absorption), gastrointestinal disorders (like Crohn's, celiac, or atrophic gastritis), stomach/intestinal surgery (bariatric, gastrectomy), genetic conditions, chronic pancreatitis, or even a vegan diet or alcoholism, all leading to poor absorption or intake of this vital vitamin.
 

How much B12 is safe during pregnancy?

During pregnancy, the recommended daily intake (RDA) for Vitamin B12 is 2.6 micrograms (mcg), crucial for your baby's brain and spinal cord development, with excess amounts generally excreted by the body, making it safe and essential, though always check with your doctor about your specific prenatal vitamin's B12 content. 

What are the facial signs of B12 deficiency?

Cutaneous manifestations associated with vitamin B12 deficiency are skin hyperpigmentation, vitiligo, angular stomatitis, and hair changes. A diagnosis of vitamin B12 deficiency is often overlooked in its early stages because these signs are not specific to vitamin B12 deficiency alone.

Vitamin B12 Injections - Everything you need to know with Dr Mandy

What medications affect the absorption of vitamin B12?

Common medicines affecting vitamin B12 absorption include Proton Pump Inhibitors (PPIs), H2-receptor antagonists (H2RAs), and the diabetes drug Metformin, all reducing stomach acid or altering gut function needed for B12 release and absorption, plus antiseizure drugs like phenytoin, anti-gout meds like colchicine, and some antibiotics. Chronic use can lead to deficiency, causing fatigue, nerve issues, or anemia, requiring monitoring by a doctor, says The Economic Times and the NHS. 

How do you feel if your B12 is too high?

Too much B12 usually doesn't cause severe issues as excess is flushed out, but high doses (especially injections) can lead to headaches, dizziness, fatigue, digestive upset (nausea, diarrhea), insomnia, anxiety, or skin rashes, with rare severe effects like heart palpitations or nerve issues in extreme cases, often resolving by stopping supplements.
 

Which trimester is B12 most important?

Two other studies found that low maternal vitamin B12 levels during the third trimester were associated with lower cognition [28,29] and social development [29] in offspring at two years of age.

How many B12 pills equal a shot?

Shots of vitamin B12 are often given in doses of 1,000 mcg/mL, while vitamin B12 pills often come in capsules, tablets, or soft gels of 50 to 5,000 mcg. While it might seem like simple math — a 1000 micrograms (mcg) B12 shot is equal to a 1,000 mcg B12 supplement — it's not that simple.

What do you crave when your B12 is low?

B12 deficiency can cause specific food cravings, particularly for meat, fish, or eggs, as your body seeks sources of the vitamin, and may also lead to sugar cravings due to its role in serotonin and energy regulation, but it can also manifest as pica (craving non-food items like ice or even bleach in severe cases). These cravings signal your body trying to correct a nutrient imbalance, but clinical testing is needed for a proper diagnosis, as emotional factors also drive cravings. 

Which organ is affected by B12 deficiency?

If you have a vitamin B12 deficiency caused by pernicious anaemia, a condition where your immune system attacks healthy cells in your stomach, your risk of developing stomach cancer is increased.

What are the warning signs of vitamin B12 deficiency?

Warning signs of Vitamin B12 deficiency include extreme fatigue, weakness, pale or yellowish skin, neurological issues like pins and needles or numbness, mood changes (depression, irritability), cognitive problems (brain fog, memory loss), a sore red tongue (glossitis), mouth ulcers, and shortness of breath, often due to megaloblastic anemia. These symptoms develop slowly, so prompt medical attention with a blood test is crucial for diagnosis and to prevent irreversible nerve damage. 

What are the two main causes of B12 deficiency?

Lack of vitamin B12 in your diet: People who don't eat enough foods that have vitamin B12 or don't eat foods fortified with B12 can develop a deficiency. Gastritis: Gastritis is inflammation of the stomach lining, and it's a common cause of vitamin B12 deficiency.

Why are doctors stopping B12?

Coronavirus has made it necessary to move patients on B12 injections to oral treatment. Reason: RISK REDUCTION in terms of limiting your movement outside your home and contact with our staff and nurses. Nationally all NHS organisations will be stopping injections during this difficult time.

What are early signs of folate deficiency?

Folate deficiency occurs when your body doesn't get enough folate. Symptoms include fatigue, weakness, mouth sores and neurological issues. Folate deficiency can be prevented by eating a diet rich in foods that contain folate.

Is B12 good for plantar fasciitis?

The Vitamin B12–Plantar Fasciitis Connection

Weakened Tissues: B12 is essential for cell reproduction and repair. A deficiency can weaken tissues, including the plantar fascia, making it more susceptible to inflammation and injury.

What is a healthy B12 level?

A healthy Vitamin B12 level is generally considered above 300 pg/mL, with a normal range typically 160-950 pg/mL, but levels between 200-300 pg/mL are borderline and often need further testing, while below 200 pg/mL is usually deficient, though optimal levels for neurological health might be higher, around 400 pmol/L (approx. 540 pg/mL). Results vary by lab, so discuss them with your doctor.
 

Is folate the same as B vitamin?

Folic acid and folate are both terms for a type of B vitamin (vitamin B9). The terms folic acid and folate are often used interchangeably. Folate is a B vitamin that occurs naturally in foods such as green leafy vegetables, citrus fruit, and beans.

What food is highest in B12?

The foods highest in Vitamin B12 are organ meats (like liver and kidney) and shellfish (especially clams), offering thousands of percent of the daily value in small servings, with fortified cereals, dairy, fish (salmon, tuna, sardines), and eggs also being excellent sources. For vegans, fortified foods like nutritional yeast and plant milks are key, as B12 is naturally found in animal products.
 

What not to do after a B12 injection?

After a B12 injection, you should avoid rubbing the site, taking hot baths/saunas, and heavy exercise for 24-48 hours to prevent irritation and infection; also, limit alcohol as it hinders absorption, and drink plenty of water to help your body use the vitamin. For best results, stay hydrated, rest, and contact your provider if you have severe reactions like rash or difficulty breathing, which could signal an allergic reaction.
 

What cannot be mixed with B12?

When taking B12, you should avoid taking it with high doses of Vitamin C simultaneously (take them a few hours apart), limit alcohol, and be cautious with certain medications like metformin, proton pump inhibitors (PPIs), H2 blockers, and some anti-seizure drugs, as these can hinder B12 absorption. Also, avoid combining B12, folate, and B6 after a stent placement due to increased risk of blood vessel narrowing, and consult a doctor about other potential interactions like with chloramphenicol. 

What cancels out B12?

There is general consensus that gastric acid–lowering drugs, including proton pump inhibitors (PPIs) and H2-receptor antagonists (H2RAs), and the antidiabetes drug metformin can reduce circulating vitamin B-12 concentrations with prolonged use.

Who cannot take vitamin B12?

Cyanocobalamin is not suitable for everyone. To make sure it's safe for you, tell your doctor before starting to take it if you: have ever had an allergic reaction to cyanocobalamin or any other medicine. have an allergy to cobalt.