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Other possible causes of a vitamin B12 deficiency pernicious anemia prolonged use of certain medications, such as metformin following a strict vegan or vegetarian diet certain infections, such as with the tapeworm Diphyllobothrium latum celiac disease older age high intake of alcohol Other nutritional supplements may also benefit someone with Crohns disease

NHS treatment protocols involve intramuscular loading doses followed by maintenance therapy, with frequency determined by underlying cause and severity

PMID 16042604

Incorrect reconstitution can result in particle formation, incorrect concentration, or pH changes that all affect injection comfort

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