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Drug-induced deficiencies (e.g., isoniazid, oral contraceptives)

Gently swirl the vial with circular motions (NEVER shake!) for 30 to 60 seconds until all the powder has dissolved

Others who might be prescribed B12 shots are those at the highest risk for a B12 deficiency, including: Vegans, since vitamin B12 is found only in animal products People ages 60 and up since their bodies don't absorb B12 as efficiently People with Crohn's disease or pancreatic disease, since they prevent nutrient absorption People who had weight-loss surgery, which decreases B12 absorption People with an eating disorder People with HIV People with diabetes Since a mild B12 deficiency might not cause symptoms, it can go undetected for years since levels are not checked during routine blood work

Not necessarily

Give the exact amount prescribed and only as often as directed

People who eat less meat or dairy might not get enough from their food