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They also help form red blood cells

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We would expect to see myelin breakdown and chronic inflammation

Patients with evidence of vitamin B 12 deficiency and chronic gastrointestinal symptoms such as dyspepsia, recurrent peptic ulcer disease, or diarrhea may warrant evaluation for such entities as Whipple's disease (a rare bacterial infection that impairs absorption), Zollinger-Ellison syndrome (gastrinoma causing peptic ulcer and diarrhea), or Crohn's disease

This makes vitamin injections an appealing option for people who have difficulty absorbing vitamins through the stomach or who are experiencing deficiencies that need to be corrected quickly