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In adults, especially those over 50, the ability to absorb B12 from food decreases

[DOI] [PMC free article] [PubMed] [Google Scholar] 58.Sartini D, Santarelli A, Rossi V, Goteri G, Rubini C, Ciavarella D, et al

Many patients choose injections to bypass digestion and ensure direct absorption

Overall, preparations for an epidural steroid injection mainly involve the patients well-being and safety after the procedure and ensuring that the treatment works

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With b12 deficiency there can be an enlargement of red blood cells called macrocytiosis