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This is because age can affect how well the body absorbs and uses B12

Have gastrointestinal conditions that impair nutrient absorption (e.g., IBS, celiac disease, or Crohns)

But how fast does a Vitamin B12 shot work

[14] Healthcare professionals generally counsel pregnant or nursing mothers to instead rely on prenatal vitamins or physician-supervised nutrition plans rather than lipotropic injections in order to protect the baby