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For these individuals, vitamin B12 injections are often the most effective way to restore healthy B12 levels because they bypass the digestive system entirely, delivering the vitamin directly into the bloodstream for maximum absorption (around 95% compared to 25-50% for oral supplements)

(2019a)

Vitamin B12 deficiency Having trouble absorbing vitamin B12 from food, lacking intrinsic factors (for example, as a result of pernicious anaemia), having gastrointestinal surgery, taking certain medications for an extended period of time (such as metformin or proton pump inhibitors), and nutritional deficiencies are all causes of vitamin B12 deficiency

Concurrent medical conditionssuch as Crohn's disease, coeliac disease, or gastric surgerycan impair absorption and delay treatment effects

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