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Other people at risk of deficiency include those who have had intestinal surgery, including weight loss surgery

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This article covers the exact physiological rationale for morning dosing, what happens when you dose at night instead, and the preparation mistakes that negate timing benefits entirely

These include vitamin B12 deficiency and malabsorption that is caused by the following medical conditions, according to the NIH [1]: Pernicious anemia Tropical sprue Pancreatic insufficiency Surgery in the gastrointestinal tract Certain medications Deficiency in the diet Side effects of B-12 injections Also, according to the NIH, vitamin B-12 injections have some potential side effects, including [1]: Diarrhea Itching Swelling Risk of allergic reaction and anaphylaxis Can Vitamins Aid in Weight Loss

Intramuscular (in the muscle) 25 gauge 5/8 inch needle
