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What are the signs that indicate a need to adjust vitamin B12 dosing regimens

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For patients who have difficulty absorbing B12 through the digestive tractsuch as those with pernicious anemia, gastrointestinal disorders (like Crohns disease or celiac disease), a history of gastric bypass surgery, or those with severe B12 deficiencyour providers often recommend intramuscular B12 injections

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Vitamin B12 is naturally present in foods such as meat, fish, and dairy, where it binds to protein and is dissociated by gastric acid during digestion, enabling it to be taken into circulation