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Oral Versus Vitamin Injections

Physicians frequently prescribe vitamin B12 supplements for patients suffering from a vitamin B12 deficiency and also for certain types of anemia. Vitamin B12 is widely available in three forms: pills, vitamin injections, and sublingual drop or sprays. Physicians tend to differ in their opinions as to which form of vitamin B12 is the most effective for their patients.

Vitamin B12 Shots
In the United States, Vitamin B12 shots are available by prescription only. The most typical dosing regimen is 1000mcg (micrograms) weekly for a four week period of time and then switching to once a month. To be certain that the shots are working effectively, physicians will order specific lab tests periodically. According to the American Family Physician website most physicians recommend vitamin B12 injections over vitamin B12 pills because it bypasses the stomach and begins to work quicker and more efficiently.

Vitamin B12 Pills
Vitamin B12 pills are easily available over the counter in the United States. They are available in various strengths with the most recommended daily dose of 2 micrograms per day. Most tablets contain approximately 100 to 200 micrograms per tablet and suggests one to three pills daily. The reason for such high oral doses is that the stomach tend to reduce absorption of vitamin B12 during the normal digestive process.

Benefits of Vitamin B12 Shots
A significant benefit of vitamin B12 shots is the quick absorption rate of the vitamin injections, which is more efficient than that of vitamin B12 pills. Another benefit is that many insurance companies will cover the cost of vitamin B12 injections as long as the physician submits a claim with a supporting diagnosis. In addition, once weekly or once monthly dosing can be more convenient than taking three daily oral doses of vitamin B12 pills. Many people who have difficulty swallowing pills naturally prefer the injectable form of vitamin B12.

Benefits of Vitamin B12 Pills
Because vitamin B12 pills are easily available over the counter in the local drugstore, supermarket or discount store they can allow individuals to treat themselves in lieu of frequent trips to the doctor. Also, many folks would prefer to take oral medications than have injections because of the pain factor.

Tips
If your physician recommends that you take a vitamin B12 supplement, be sure to thoroughly discuss with him which form of the vitamin he suggests you use in order to treat your condition. Take pricing into consideration when making your determination, including any portion that your insurance may cover. Always consult your primary physician prior to starting a vitamin supplement regime of any kind. Finally, have the recommended lab tests done at regular intervals so that your physician can periodically monitor your condition.

By: Dr. Brant Agin

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