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Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacterial overgrowth, total or partial gastrectomy

The speed of improvement depends on your individual health and how low your B12 levels are

Therapeutic Class: Active Ingredients: Vitamin B12 Vitamin B12 Injection is used to treat and prevent vitamin B12 deficiency in patients with pernicious anemia and other conditions that cause a deficiency of this vitamin

Because these conditions prevent adequate oral uptake, intramuscular injection bypasses the digestive system entirely and delivers B12 directly into muscle tissue for reliable absorption