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Risk increases significantly after 2+ years of use Post-bariatric surgery patients gastric bypass removes or bypasses the sites of intrinsic factor production and B12 absorption People with autoimmune conditions pernicious anemia (anti-intrinsic factor antibodies) and autoimmune gastritis directly block absorption People with GI conditions Crohns disease (especially ileal involvement), celiac disease, SIBO, and chronic H

mg/mL mL units Reconstitution math only not dosing advice

If your levels were low to start, one injection helps refill your tank, and you may feel steadier for a couple of weeks

Quality has been consistent across every batch, and the ordering process is straightforward

Proper training is very important for intramuscular injections in the shoulder (deltoid)