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Indications and Usage for B-12 Compliance Injection Cyanocobalamin is indicated for vitamin B12 deficiencies due to malabsorption which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacteria overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see DRUG INTERACTION), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue

Swelling of the face, lips or throat, widespread rash, or difficulty breathing, which can signal a rare allergic reaction and is a medical emergency

Most clients resume normal activities immediately after the injection

Dietary modifications enhance treatment efficacy - emphasizing B-rich foods like nutritional yeast, wild salmon, and pasture-raised eggs

For example, if you have sinus problems, treating them should provide relief from the metallic taste in your mouth

Cow or sheep liver:Sheep, containing more than 1% of vitamin B12