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Self-administered B12 shots are generally recommended for individuals: whose bloodwork has documented low B12 levels Patients with pernicious anemia or a lack of intrinsic factor Individuals with Crohn's disease, celiac disease, or post-bariatric surgery malabsorption Vegans and strict vegetarians are unable to correct the deficiency through diet Older adults whose stomach acid production has declined with age Anyone on long-term metformin or proton pump inhibitors Across most of the U.S., injectable B12 is not sold over the counter a clinician has to write the script before a pharmacy can dispense it

You also have the neurological and psychological symptoms of stage III.

Vitamin B12 injections can benefit a wide range of individuals, particularly: If youre struggling to maintain energy levels, B12 injections may provide the support you need to thrive in your day-to-day life

Glycine (3 grams before bed): Glycine is a conditionally essential amino acid that lowers core body temperature when taken before bed, which is one of the key physiological triggers for sleep onset