Conditions that may lead to anemia include: Heavy periods Pregnancy Ulcers Colon polyps or colon cancer Inherited disorders A diet that does not have enough iron, folic acid or vitamin B12 Blood disorders such as sickle cell anemia and thalassemia, or cancer Aplastic anemia, a condition that can be inherited or acquired G6PD deficiency, a metabolic disorder Anemia can make you feel tired, cold, dizzy, and irritable
IM B12 injection is especially appropriate when oral supplementation has been inadequate, when absorption is compromised, or when neurological symptoms are present (Stabler, New England Journal of Medicine , 2013)
B12 may counteract medication and diet-related fatigue Fatigue is a common symptom that many patients experience while taking tirzepatide for weight loss
After that, maintenance injections may be required monthly or as needed
The alcohol irritates subcutaneous tissue and causes a burning sensation that gets misidentified as a medication reaction
