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4,5 Dietary insufficiency, pernicious anemia (i.e., an autoimmune process that reduces available intrinsic factor and subsequent absorption of vitamin B 12 1,2,6,7 ), and long-term use of metformin or acid-suppressing medications have been implicated in B 12 deficiency

It is commonly used by individuals looking to optimize physical performance or enhance fat metabolism as part of a comprehensive wellness plan

However, most people rely on oral supplements

For most people, yes, when it is medically appropriate and supervised

At this point, she was not prepared to let her health deteriorate any further so resorted to ordering B12 from abroad and started self-injecting at home