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Laboratory Tests Patients with pernicious anemia have about three times the incidence of carcinoma of the stomach as the general population, so appropriate tests for this condition should be carried out when indicated

How they work: B12 shots bypass your digestive system, so your body absorbs the vitamin much faster and more efficiently

What is a B12 Injection

Nasal spray accommodates travel and lifestyle factors that make injection impractical

Update: Our readers suffer from pernicious anemia and need lifelong B12 shots, so we partnered up with a lab in the UK to offer vials of medical-grade methylcobalamin for $129 or less, which can bring the cost per shot down to $3.10-$3.90

Its best to discuss the right schedule with your provider