The lack of vitamin B12 may result from any of the following conditions: Addisonian (pernicious) anemia this condition causes autoantibody formation against parietal cells, which results in a lack of IF essential for absorption of vitamin B12 from the intestine Malabsorption impaired absorption of vitamin B12 Gastrointestinal pathology, dysfunction, or surgery these include atrophic gastritis, celiac disease, small bowel bacterial overgrowth, pancreatic insufficiency, Helicobacter pylori infection, gastric carcinoma, and total or partial gastrectomy Diphyllobothrium latum and related species (the fish tapeworm) infestation these parasites compete with vitamin B12 for intestinal absorption
For more on how these injections work and their benefits, see Ivy Rxs guide to lipotropic injections
A cold pack or wrapped ice to apply briefly after the shot
Thiamine, riboflavin, niacin, pantothenic acid, and biotin help convert food to energy, and help your cells grow, develop, and function