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An authoritative review of B12 deficiency from the clinical perspective

Those most at risk include vegans and vegetarians, people with digestive conditions such as Crohn's disease, coeliac disease or IBS, those taking long-term metformin or proton pump inhibitors, older adults whose ability to absorb B12 through the gut declines naturally with age, those with pernicious anaemia, and anyone with a history of chronic alcohol use

Lipo-B injections are administered intramuscularly, meaning the shot is given directly into a muscle (commonly in the deltoid of the upper arm, the thigh, hip, or buttock)

Horm Metab Res 33 : 156162 Scavo LM et al