This case of SACD went undetected in a 22 year old who had been given oral supplements which had corrected her serum level
These lumps typically result from inflammation, lipohypertrophy (fatty tissue accumulation), or improper injection technique
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+ B12 injections suit vegetarians and vegans who do not eat animal foods, patients with confirmed absorption issues such as pernicious anaemia, coeliac disease or significant IBS, older adults whose stomach acid has dropped with age, and patients on long-term metformin or proton-pump inhibitors that lower B12 absorption
This helps to preserve its potency which can be negatively affected by plastic containers
