Vegans and vegetarians : Plant-based diets often lack B12, since its mostly found in animal products
Certain groups face elevated risk of B12 deficiency and should discuss testing with their healthcare provider: Individuals following vegan or strict vegetarian diets without adequate supplementation Older adults (particularly those over 60 years), due to reduced gastric acid production People with gastrointestinal conditions including Crohn's disease, coeliac disease, or those who have undergone gastric or ileal surgery Long-term users of medications affecting B12 absorption, such as metformin (MHRA advises monitoring B12 levels), PPIs, or H2-receptor antagonists Individuals with pernicious anaemia or family history of this autoimmune condition People with exposure to nitrous oxide (recreational or occupational), which can cause functional B12 deficiency Diagnostic testing typically involves serum B12 measurement , though this may not always reflect tissue stores accurately
These injections may also be called gel shots, viscosupplementation, visco shots, hyaluronic acid injections or HA injections. Some hyaluronic acid products are derived from rooster combs, which is why some people call these rooster comb injections. If you have an avian (bird) allergy, you should discuss this with your doctor
This product is contraindicated for use when selenium intake from pasture is high or selenium is provided by other means (such as top dressing, vaccine, pellets or selenium drenches if blood selenium levels at treatment are high
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