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Accepted diagnoses include pernicious anemia (D51.0), documented malabsorption conditions, and confirmed B12 deficiency (E53.8)

Intramuscular (IM) injections bypass the gastrointestinal tract entirely, making them particularly effective when oral absorption is unreliable or when a confirmed deficiency requires prompt correction

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Reducing or stopping alcohol also helps and allows more of the other vitamins to be available for metabolism

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