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Also, patients should be warned about the danger of taking folic acid in place of vitamin B 12, because the former may prevent anemia but allow progression of subacute combined degeneration

If a provider refuses or says the vial isnt available, that is a reason to leave

You are an older adult: Stomach acid production tends to decline with age, which can make it harder to absorb B12 from food and raises the risk of deficiency

B-COMPLEX ampoules are also used to treat loss of appetite and absorption disorders, such as chronic diarrhea and celiac sprue

To increase the amount of vitamin B12 in your diet, eat more foods that contain it, such as: Beef, liver, and chicken Fish and shellfish such as trout, salmon, tuna, and clams Fortified breakfast cereal Low-fat milk, yogurt, and cheese Eggs Your doctor might recommend that you also take a vitamin B12 supplement