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Vitamin B12 shots are often prescribed for people with: Pernicious anemia (autoimmune destruction of intrinsic factor needed for B12 absorption) Gastrointestinal surgeries (e.g., gastric bypass, ileal resection) Crohns disease or celiac disease Chronic alcoholism Long-term use of acid-reducing medications Vegan diets without supplementation Infants or children with congenital absorption disorders (i.e., vitamin B12 for kids in clinical care) Injections ensure direct delivery into the bloodstream, bypassing the digestive system entirely

100 200 mg/kg/Day divided TID efficacious

However, our bariatric patients are given strict postoperative guidelines that include strength training to build muscle and counteract the wasting caused by weight loss

B12 - Brain and nerve health, aids in RBC maturation

2008 Therrien G, Rose C, Butterworth J, Butterworth RF: Protective effect of L-carnitine in ammonia-precipitated encephalopathy in the portacaval shunted rat