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In addition, two antibody tests can help confirm a diagnosis of pernicious anemia

Each Methyl B12 injection is $22, but we offer packages of six (6) injections for $108 total

Further, long-term use of acid-reducing drugs and the anti-diabetes drug metformin and repeated exposure to nitrous oxide have been implicated in vitamin B 12 deficiency (see Drug interactions)

Please note that this price does not include any additional fees that may apply for an office visit or initial consultation

Metformin , a diabetes drug, can decrease B12 absorption, causing deficiency with long use

These injections, usually containing hydroxocobalamin or cyanocobalamin, are administered intramuscularly, thus bypassing the digestive system where the absorption problem occurs