According to StatPearls , patients with pernicious anemia require lifelong vitamin B12 injections and may want to consider dietary changes for B12 deficiency
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Some individuals may feel a brief sting or discomfort at the injection site, while others may not feel anything at all
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Consult Your Healthcare Provider If you experience excessive tiredness or nerve problems, your healthcare provider can do a blood test to check vitamin B12 levels and also rule out other potential causes for your symptoms
Studies using scintigraphy to track food transit show that stomach emptying rates decrease by 40-60% at therapeutic doses