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For patients who have difficulty absorbing B12 through the digestive tractsuch as those with pernicious anemia, gastrointestinal disorders (like Crohns disease or celiac disease), a history of gastric bypass surgery, or those with severe B12 deficiencyour providers often recommend intramuscular B12 injections
Aspiration is unnecessary for subcutaneous injections
The potential effects on fetal development and breast milk composition are unknown
Deficiency is particularly common in elderly people because the ability to absorb vitamin B12 can decrease with age
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