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While those can certainly play a role, dehydration is an often-overlooked contributor

How often you need B12 injections depends on how severe your deficiency is and why you have it

Those With Digestive Disorders Conditions like inflammatory bowel disease (IBD), Crohns disease, or other malabsorption syndromes reduce B12 absorption

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Furthermore, when patients present to the pharmacist complaining of shoulder pain or that they cannot lift their arm to brush their teeth, pharmacists should ask if they had a vaccine in that arm recently and refer them to a physician for diagnosis if SIRVA is suspected