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This deficiency can stem from various causes, such as impaired gastric absorption due to factors like gastrectomy, bariatric surgery, and pernicious anemia (PA), impaired intestinal absorption from conditions like ileal resection and chronic pancreatitis, decreased intake, hemolysis, HIV, and drug-induced effects, such as from alcohol, proton pump inhibitors, and metformin

Prevention of relapse of duodenal ulcers

and type of injection

A bedroom drawer or a storage case is better

High-dose oral vitamin B12 supplements (1000-2000 micrograms per day) have also been shown to raise levels, because high doses can usually compensate for the bodys poor absorption