Replace roller after the recommended number of applications per manufacturer guidelines
Cyanocobalamin is indicated for vitamin B12 deficiencies due to malabsorption which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacteria overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see PRECAUTIONS-Drug Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue
15,16 In patients with clinical symptoms of vitamin B 12 deficiency and low levels of serum vitamin B 12 , no further confirmatory testing is generally needed before treatment is initiated
But theres another option that works faster and more effectively: vitamin injections
Blood tests, like serum B12 levels and complete blood counts, are key to making these decisions
