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One common reason behind this could be poor absorption, said Dr Manjusha Agarwal, senior consultant, internal medicine, Gleneagles Hospital Parel Mumbai, adding that conditions like anaemia, celiac disease, Crohns disease, or even long-term use of medications can affect how the body absorbs B12 from the digestive tract. Moreover, Dr Agarwal said that as people age, their stomachs produce less acid, which is necessary to release B12 from food.

More detailed molecular mechanisms need to be characterized, particularly mitochondrial restructuring after amino acid treatment

Sterilise all injection apparatus by boiling (or equivalent) before use

This might sound high compared to the NIH's Recommended Dietary Allowance of just 2.4 mcg daily for adults, but don't worry the injection method allows for safe delivery of these higher doses, and B12 is water-soluble, meaning your body efficiently eliminates any excess

Vitamin B complex refers to a group of essential water-soluble vitamins that play a vital role in maintaining overall health
