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Vitamin B12 deficiency Having trouble absorbing vitamin B12 from food, lacking intrinsic factors (for example, as a result of pernicious anaemia), having gastrointestinal surgery, taking certain medications for an extended period of time (such as metformin or proton pump inhibitors), and nutritional deficiencies are all causes of vitamin B12 deficiency

Also, check that they dont contain benzyl alcohol, or at least verify that youre not sensitive to it

This is often called a loading dose phase, and its purpose is to quickly raise the B12 levels in your body and help you start feeling better

Injectable therapies: This creates a more structured and targeted approach to metabolic support