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Gastrointestinal conditions Some gastrointestinal conditions may affect how vitamin B12 is digested or absorbed, such as: history of gastrointestinal surgery celiac disease Crohns disease pernicious anemia infections, such as from Helicobacter pylori bacteria or parasites pancreatic insufficiency or cancer bowel cancer folic acid deficiency small intestinal bacterial overgrowth Vitamin B12 injections may be more helpful for people with gastrointestinal conditions than oral products
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We might adjust the dosage for elderly patients based on their health and medications
Increase basal metabolic rate (BMR) , leading to higher calorie burn at rest
In both cases, each shot provides far more vitamin B12 than what the body needs
Some people can manage dietary B12 needs with food or tablets
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