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doi: 10.1111/jvim.15865
How Acetic Acid Is Commonly Used
Certain health conditions, such as pernicious anemia or specific gastrointestinal disorders that affect B12 absorption, may require even longer-term or lifelong monthly injections
Individuals with Poor Absorption: People with low stomach acid, or those who have had certain surgeries (like gastric bypass), may struggle to absorb B12 from food and would benefit from injections
A clinician also keeps a simple record of the date, dose and site so the rotation stays on track and the schedule matches your blood results
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