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This complex process means that conditions affecting the stomach or intestines can significantly impair B12 absorption, including pernicious anaemia, atrophic gastritis, previous gastric surgery, coeliac disease, Crohn's disease, and long-term use of certain medications (such as metformin, proton pump inhibitors, and H2 antagonists)

So, it may play a role in conditions such as Alzheimer's disease and stroke

Times of India

[11] It is less preferred than hydroxocobalamin for treating vitamin B 12 deficiency because it has a slightly lower bioavailability

Mild swelling and bruising at the injection site are common but usually subside within a few days

Your provider at the Weston clinic will explain what to expect