One such study in 2012, published in the journal Obesity, found that obese individuals who received vitamin B12 injections lost an average of 3 pounds more than a placebo group over 12 weeks
The local climate, characterized by intense sunlight, can also impact B12 absorption
Certain medical conditions and medications increase B12 requirements: Long-term use of metformin (diabetes medication) or proton pump inhibitors (PPIs for acid reflux) can impair B12 absorption [13] [14] Gastrointestinal conditions such as Crohn's disease, coeliac disease, or previous gastric surgery Autoimmune conditions beyond pernicious anaemia may affect B12 metabolism When to contact your GP : If you are taking B12 supplements or receiving injections but continue to experience symptoms, request a review
[22] Refrigeration is not strictly required but may prolong shelf life if temperature excursions are common
pregnant or trying to get pregnant
Pancreatic Insufficiency: The pancreas helps with B12 absorption, and not enough of it can cause deficiency