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Description
Push the plunger down slowly and steadily until all the medication is injected

22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity
(2022) Lee and Burgess (2025) Mayfield et al

People with Diagnosed B12 Deficiency or Anemia The most obvious candidates for B12 injections are individuals who have been diagnosed with a B12 deficiency or pernicious anemia

B12 and folate deficiency is common in older people, affecting around 1 in 10 people aged 75 and older and 1 in 20 aged 65 to 74, according to the NHS
