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Groups at higher risk of deficiency include older adults (due to reduced stomach acid production), vegans and vegetarians, people with pernicious anaemia or gastrointestinal disorders affecting absorption, and those taking certain medications such as metformin or proton pump inhibitors

Human clinical trial data remains limited, with Phase I and II trials for inflammatory bowel disease conducted in the 1990s claiming safety with no toxicity, though full peer-reviewed data never appeared in scientific literature

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However, for specific, stubborn injuries or in advanced research protocols, some investigators do opt for a localized approach

Holding the plunger while inserting the needle could cause a premature injection, if the cat flinches or if you've incorrectly inserted the needle

Knowing how alcohol affects B12 absorption might help you make an informed decision about your drinking habit
