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adults over 60 have a true B12 deficiency, and roughly 20% have marginal B12 status, according to research published in the American Journal of Clinical Nutrition

Inherited bleeding disorders: Some bleeding disorders such as von Willebrands disease, a condition in which an important blood clotting factor is deficient or impaired can cause abnormal menstrual bleeding

Note: if using a 3ml/cc mixing syringe steps 2 - 6 will need to be completed several times to transfer all the fluid into the powder

An agitator is also present to ensure uniform mixing

The choice between injections and pills depends on individual needs, including deficiency severity and absorption capacity