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The problem started in the last decade with the availability of highly efficient oral and injectable forms of B12

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If you're in Columbia and considering this route, do it with your eyes open

It happens because the stomach lacks intrinsic factor, a protein needed for absorption

Some people confuse tiny air bubbles with particles, so let the vial sit motionless for 30 seconds before inspecting

It should be noted that higher dosages of vitamin B12 may be necessary when treating this population