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2 Wernicke's encephalopathy E51.8 Other manifestations of thiamine deficiency E51.9 Thiamine deficiency, unspecified E52 Niacin deficiency [pellagra] Includes: niacin (-tryptophan) deficiency nicotinamide deficiency pellagra (alcoholic) Excludes1: sequelae of niacin deficiency (E64.8) E53 Deficiency of other B group vitamins Excludes1: sequelae of vitamin B deficiency (E64.8) E53.0 Riboflavin deficiency Ariboflavinosis Vitamin B2 deficiency E53.1 Pyridoxine deficiency Vitamin B6 deficiency Excludes1: pyridoxine-responsive sideroblastic anemia (D64.3) E53.8 Deficiency of other specified B group vitamins Biotin deficiency Cyanocobalamin deficiency Folate deficiency Folic acid deficiency Pantothenic acid deficiency Vitamin B12 deficiency Excludes1: folate deficiency anemia (D52.-) vitamin B12 deficiency anemia (D51.-) E53.9 Vitamin B deficiency, unspecified E54 Ascorbic acid deficiency Includes: deficiency of vitamin C scurvy Excludes1: scorbutic anemia (D53.2) sequelae of vitamin C deficiency (E64.2) E55 Vitamin D deficiency Excludes1: adult osteomalacia (M83.-) osteoporosis (M80-) sequelae of rickets (E64.3) E55.0 Rickets, active Infantile Osteomalacia Juvenile Osteomalacia Excludes1: celiac rickets (K90.0) Crohn's rickets (K50.-) hereditary vitamin D-dependent rickets (E83.32) inactive

consult your healthcare provider

Patients should be offered this alternative after an informed discussion on the advantages and disadvantages of both treatment options. oral vitamin B12 is an effective alternative to vitamin B12 IM injections Cochrane Review

Our experts at Windermere Medical Spa will advise you on the best schedule for your injections

If youve tried B12 supplements and didnt notice much improvement, injections might be a better fit

When done properly, B12 shots are very safe and theyve been used in medical care for decades