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People with symptoms of vitamin B12 deficiency It is a good idea for anyone with the following signs and symptoms of a vitamin B12 deficiency or pernicious anemia to consult a doctor: People with gastrointestinal issues Conditions that affect the gastrointestinal tract may affect vitamin B12 release or absorption, including: pernicious anemia, which can lead to gastric atrophy, or damage to the stomach fish tapeworm infestation bowel or pancreatic cancer folic acid deficiency overgrowth of bacteria in the small intestine diabetes thyroid disease Crohns disease celiac disease chronic pancreatitis People who have undergone gastrointestinal surgery, including weight loss, may have fewer cells necessary to secrete stomach acid and intrinsic factor

Ask a close friend, companion, spouse, or relative to learn how to administer vitamin B12 shots, or at least hold a mirror for you while you give yourself the injection, and rub out the pain afterwards to prevent bruising and other painful side effects

Genetics and other factors can keep you from losing weight too

Injections offer a direct way to replenish those nutrients and promote recovery from physical or mental exhaustion

For medical advice please consult your physicians or ChoicePoint's qualified staff