Special Populations Post-Bariatric Surgery Patients : Individuals who have undergone bariatric surgery, such as Roux-en-Y gastric bypass, are at a higher risk of vitamin B12 deficiency due to malabsorption
For example, a provider is performing a flu vaccination
This medication is given by injection into a muscle or under the skin as directed by your doctor
Some medications stop B12 from working, so it is unethical for us to administer B12 when taking these medications
Reconstitution requires bacteriostatic water and proper sterile technique
In addition, if you're one the millions of Americans taking proton pump inhibitors, known as PPI's, that suppress stomach acid for conditions like acid reflux, you're going to be prone to Vitamin B12 deficiency