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She has sought assistance through social services, but like many people with Pernicious Anaemia or B12 malabsorption, she faces a common barrier: once treatment begins, patients are often placed on minimal maintenance injections, even when more frequent treatment is needed to repair neurological damage

These injections are placed just under the surface of the skin in the stomach or at the hip

Drinking too much alcohol or smoking can have a similar effect

For more tips from our Medical co-author, including how to safely dispose of your needle after injecting B12, read on

The app does not tell you whether to skip a dose, double a dose, or change a schedule