what conditions require b12 injections Not All Are Equal: to Know Before Your Appointment – Timeless Wellbeing Are Vitamin B12 Shots Right

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Absorption problems Even with adequate intake, absorption can be reduced by: Certain gastrointestinal conditions affecting the stomach or small intestine Some medications Age-related reduction in stomach acid (which can affect absorption) Autoimmune gastritis (often historically referred to as pernicious anaemia) This is a well-recognised cause of B12 deficiency and may require ongoing management

Takes no current supplements

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The combination of the restrictive diet and increased physical activity is also what makes weight loss so difficult as the more you work out, the more your appetite is likely to increase, and the more nutrients you will require in order to ensure that your body is getting all of the nutrients it requires in order to keep exercising and burning the stored fat

Metformin, widely prescribed for type 2 diabetes, can impair B12 absorption through effects on calcium-dependent ileal uptake