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Who may need high dosages of B12: People with absorption difficulties due to insufficient stomach acid, lack of intrinsic factor (pernicious anemia), or gastrointestinal surgery 6 Vegans/strict vegetarians People affected by certain genetic variants, e.g

This minimizes the number of times the main vial is exposed to room temperature or handled, reducing contamination risk

However, it is important to understand that 24 weeks, while substantial for clinical trials, provides limited information about safety with years-long continuous use

However, if you have a severe deficiency or a condition that prevents proper B12 absorption, injections may be the better choice

Phase II study of a multi-center randomized controlled trial to evaluate oral vitamin B12 treatment for vitamin B12 deficiency after total gastrectomy in gastric cancer patients

We are writing to you on behalf of your GP in regards to your B12 injections