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Macrocytic anemia is a common manifestation, with initial signs often including fatigue and pallor

Other factors that could lead to B12 deficiency are: Lack of adequate production of the intrinsic factor needed for B12 absorption B12 deficiency is common in elderly people as absorption of the vitamin reduces with age People who have had any intestinal surgery, such as that for weight loss Those with gut conditions such as Crohn's Disease, inflammatory bowel disease, or celiac disease QUESTION See Answer Vitamin B12 injections Vitamin B12 supplements are given based on the condition that causes deficiency

Learn where to self-administer a B12 shot and how to do it painlessly This article was medically reviewed by Shari Forschen, NP, MA and by wikiHow staff writer, Amber Crain

Well review your health history to ensure B12 is appropriate for you

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