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In other cases, maintenance doses may be needed every few months

Who Might Suffer from a B12 Deficiency

Clean habits keep germs out

Severe loss of quality of life, due to symptoms such as debilitating fatigue, insomnia (B12 is required for synthesis of melatonin), mental illness, and neurological symptoms

Injections are indicated when there's confirmed severe deficiency, pernicious anemia (an autoimmune condition where intrinsic factor is absent), or documented malabsorption that prevents oral B12 from reaching adequate levels
