Elderly with multiple medications Interactions may happen with other drugs like: Metformin Diuretics Blood thinners Always talk to your doctor and disclose your medication list before starting B12 shots
See a doctor if you have high B12 and High B12 on a blood test doesnt always require action, but certain combinations warrant prompt evaluation: B12 above 1,000 pg/mL without supplementation or injections Unexplained fatigue, weight loss, abdominal pain, or night sweats alongside elevated B12 Abnormal liver function tests (ALT, AST, bilirubin) or kidney markers (creatinine, GFR) on the same panel Abnormal complete blood count (CBC), especially elevated white blood cells, red blood cells, or platelets B12 levels that are rising over serial measurements without a clear dietary or supplement explanation What to do about high B12 levels There is no specific treatment for high vitamin B12 because the B12 level itself is almost never the problem
Sterile water contains no preservative, and the difference between the two matters for multi-use vials
It is also particularly valuable for patients who may have issues with their digestive system that may make other forms of increasing their B12 levels, such as pills and food, less effective