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Gastrointestinal conditions Some gastrointestinal conditions may affect how vitamin B12 is digested or absorbed, such as: history of gastrointestinal surgery celiac disease Crohns disease pernicious anemia infections, such as from Helicobacter pylori bacteria or parasites pancreatic insufficiency or cancer bowel cancer folic acid deficiency small intestinal bacterial overgrowth Vitamin B12 injections may be more helpful for people with gastrointestinal conditions than oral products

How often should I receive treatments

Gynecomastia risk: Rare but possible if estradiol becomes significantly elevated without management

[DOI] [PubMed] [Google Scholar] 336.Puranik S., Forno E., Bush A., Celedn J.C

Vitamin injections are quick and convenient taking just 5 minutes.