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A deficiency can occur for several reasons, such as pernicious anemia (a condition where the body cannot absorb vitamin B12 from the diet), certain medical conditions (e.g., Crohn's disease, celiac disease), surgical removal of part of the stomach or intestine, or strict vegetarian/vegan diets if not adequately supplemented

If you have ongoing risk factors (e.g., metformin use, vegetarian diet, or GI disorders), periodic rechecks can help ensure levels remain within the optimal range

Following these steps helps ensure safe and effective results from your vitamin B12 injection therapy

[DOI] [PMC free article] [PubMed] [Google Scholar] 3.Katsyuba E., Romani M., Hofer D., Auwerx J