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why do you have to have b12 injections Best Vitamin Injection Site: Administering B12 Shots how long before vitamin b12
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Oral supplements have to pass through the digestive system and may not be absorbed efficiently, especially in people with gastrointestinal conditions like celiac, Crohns, or gastritis

doi: 10.1056/NEJMoa0810780

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Neurological Deficit Treatment Approaches Severe B12 deficiency can cause serious neurological problems
Continue tirzepatide at 5mg weekly (first escalation)