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Book Online Vitamin B12 Deficiencies Deficiency can occur due to medications, gastrointestinal or autoimmune disorders, alcoholism, bariatric surgery, strict vegetarian diets, prolonged antacid or proton pump inhibitor use, or advanced age

It can also affect people with Crohns disease, or if you have had part of your stomach removed (a gastrectomy) as a result of cancer treatment

**Maintenance Dose:** 1 mg (1 mL) intramuscularly or subcutaneously, administered once a month, or as directed by a healthcare professional

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