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Absorption problems Even with adequate intake, absorption can be reduced by: Certain gastrointestinal conditions affecting the stomach or small intestine Some medications Age-related reduction in stomach acid (which can affect absorption) Autoimmune gastritis (often historically referred to as pernicious anaemia) This is a well-recognised cause of B12 deficiency and may require ongoing management

But some might feel pain at the injection site, mild diarrhea, or itching

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Understanding Vitamin B12: The Energy Vitamin Vitamin B12, scientifically known as cobalamin, belongs to the B-complex vitamin family and plays indispensable roles throughout your body