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Common things that can negatively impact vitamin B12 absorption and transportation: Strict vegan diet Low stomach acid diet Pancreatic insufficiency Intrinsic factor antibodies Slow TCNs - Fortified foods with synthetic folic acid SIBO Celiac Disease Crohns Vitamin B12 Supplements Vitamin B12 dietary supplements are very common

Those are the treatments discussed above, which are nonsurgical, and are mostly focused on lasers, microneedling, injections, medications, and supplements

Why Choose B-12 Injections

ADVERSE REACTIONS: Intramuscular injection can occasionally cause skin rash, itching, diarrhea and allergic asthma

Hydroxocobalamin is the form of vitamin B12 naturally found in food

Try an OTC Zyrtec or Claritin to see if this helps