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Theres just nothing concrete I can take to a doctor, no matter how miserable it makes me

Self-management If you will be self-injecting methotrexate, your healthcare provider will show you or your caregiver how to do it

B12 injections are also used to treat people with malabsorption (gastrointestinal conditions that prevent proper absorption of B12 from the gut), for example, people with atrophic gastritis (stomach inflammation) and intrinsic factor deficiency (pernicious anemia) or those who have undergone surgical procedures such as gastrectomy or small bowel resection (stomach or intestine removed), autoimmune diseases, etc

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If youre over the age of 50, whether youre vegan or not, its recommended to supplement with B12 as your ability to absorb B12 decreases as you age

Pregnant and breastfeeding individuals have increased requirements for many B vitamins, and indeed these vitamins are routinely included in prenatal supplements