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In that case, injections are not appropriate

What Is Included in the GLOW Protocol

People with Absorption Issues If you have conditions like pernicious anemia or Crohns disease, you may need more frequent injections to compensate for poor absorption

Vitamin B12 injections are also used by people with impaired vitamin B12 absorption or deficiency called Pernicious anaemia caused by: Inadequate dietary intake of B12 Loss of gastric parietal cells in chronic atrophic gastritis Structural damage or surgical resection of the small intestine or stomach Long-term use of acid regulating medication Alcoholism Gastric banding surgery Celiacs disease Pernicious anaemia Crohns disease Until now, injection of methyl-B12 has required a needle