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This guide walks you through everything you need: who should self-inject, the supplies you'll gather, the four safest injection sites, a detailed step-by-step procedure, aftercare, side effects to watch for, and an FAQ that answers the questions patients ask us most often at ThinWorks

Additional Information & Research Details COA & Canadian Third-Party Testing Independent, verifiable Canadian third-party testing All third-party testing conducted by Integrity Peptides is performed through independent Canadian analytical laboratories

These include: Autoimmune diseases, such as hypoparathyroidism, Graves disease, myasthenia gravis, and type 1 diabetes Crohns disease HIV Vitiligo Celiac disease Having part or all of your small intestine removed Small intestine bacterial overgrowth, a condition where you have harmful bacteria in your intestines that absorb all the B12 before your intestines can Other risk factors for pernicious anemia include: Scandinavian or Northern European ancestry Family history of PA Having gastric bypass surgery (used to treat obesity), which loses cells that absorb B12 Taking medications such as antacids or drugs that treat type 2 diabetes but make it harder for your body to absorb enough B12 Pernicious Anemia Symptoms Symptoms of pernicious anemia may take years to develop because your body can store 1,000 to 2,000 times as much B12 as you need in a day

Here is a primer on B12 (a.k.a

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