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The Mayo Clinic shares that those most at risk of low levels include (5): people who dont consume enough vitamin B12 in their diet people diagnosed with pernicious anemia people whove had gastric surgeries people with intestinal issues, such as celiac or Crohns disease People following a vegetarian diet are especially at risk of deficiency

The amount discarded should be documented in the medical record and the J-code billed to reflect total units in the vial, with modifier JW distinguishing the administered portion from the discarded portion

A Retired Registered Nurse about Vitamin B12 injections How to Inject Vitamin B My Experience with B12 Injections I recall years ago in nursing school when my lab supervisor asked me to give her routine insulin shot

Clean the septum with a fresh alcohol prep pad before each injection, allowing 30 seconds for air-drying