vitamin b12 injection or oral Compounded Hydroxocobalamin (Vitamin B12) Vitamin B 12 Injection -

Many factors can cause low vitamin B12

Use in Pregnancy (Category A)

Steps to care for your pouch include emptying the pouch oftenempty the pouch when it is one-third to one-half full to avoid leaks, skin irritation, and odor changing the pouch regularlymost pouches need to be changed 1 to 2 times per week, but how often you need to change your pouch depends on the type of pouch you wear, how well the skin barrier fits, the condition of the skin around your stoma, your activity level, your body shape, and your level of perspiration keeping the skin around the stoma cleaneach time you change the pouch, gently clean the skin around the stoma and dry the skin completely before putting on a new pouch At night, you can attach a piece of flexible tubing to the drain valve on your pouch to allow urine to flow into a night drainage unit while you sleep

Think you may need a vegan B12 supplement