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For patients diagnosed with a vitamin B12 deficiencyespecially when caused by problems with absorption in the digestive tract (such as pernicious anemia, certain gastrointestinal conditions, or after specific surgeries)oral supplements may not be effective

Frontiers in Endocrinology (2023)

Studies have shown that bacteria from the skin can enter the syringe and then the bloodstream upon reuse

Fortunately, if a patient returns to opioid use but hasnt stopped taking Suboxone (or only stopped Suboxone for 1-2 days) then the Suboxone can be safely resumed with minimal chance of precipitated withdrawal

If you are having pernicious anemia, folic acid may help maintain your red blood cells