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At the same time, B12 insufficiency in the liver leads to shrinking of the intestinal cells and malabsorption of nutrients (including B12 itself), leading to a cycle of worsening B12 deficiency

Despite high vitamin B12 levels in repeated assays owing to a very strong suspicion of pernicious anemia, further investigation was performed to establish vitamin B12 deficiency (Table 1), and parenteral vitamin B12 replacement was initiated

Older adults Age-related considerations include potentially slower response times requiring longer protocols, importance of medical supervision given likely concurrent health conditions, possible interactions with age-related medications, and conservative dosing approaches initially

Tips Before Getting B12 Injections Get Your B12 Levels Checked First Before jumping in, ask your doctor for a simple blood test

If you're not on a GLP-1, lipo B12 shots are still effective on their own as part of a wellness or weight loss routine

PubMed PMID: 820366