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Like headaches, this tends to occur early in use and resolve as the body adjusts

Long-term use of metformin, proton pump inhibitors or H2 blockers , which can reduce B12 absorption over years

You can find B12 naturally in foods like meat, fish or dairy products

Older pregnant individuals, as absorption efficiency decreases with age [*]

I've been using this now for over a year and notice a real difference in my energy and my B12 levels are up in my tests

Table of Contents What Is Pernicious Anaemia and Why B12 Injections Are Needed How Vitamin B12 Injections Work for Pernicious Anaemia NHS Treatment Schedule and Dosing for B12 Injections What to Expect During and After Your B12 Injection Monitoring Your Treatment and Long-Term Management Scientific References Frequently Asked Questions What Is Pernicious Anaemia and Why B12 Injections Are Needed Pernicious anaemia is an autoimmune condition in which the body cannot absorb vitamin B12 (cobalamin) from the diet due to a lack of intrinsic factor , a protein produced by cells in the stomach lining