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For individuals with severe deficiencies or absorption issues, such as those with pernicious anemia, Vitamin B12 injections may be recommended for faster and more efficient absorption

Long-Term Use of Metformin and Vitamin B12 Deficiency in Diabetes

Supplementation aside, you should always aim to get the majority of your nutrients from food sources, but when it comes to vitamin B12, that's definitely easier said than done, especially for those following plant-based diets free of all animal products