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Other Gastrointestinal Disorders Affecting B12 Other conditions like gastric bypass surgery, atrophic gastritis, and pancreatic insufficiency can also cause B12 malabsorption

Higher-dose oral B12 (e.g., 1000 g daily) is sometimes used but should only be considered under clinical supervision with appropriate monitoring, particularly in cases of malabsorption where intramuscular treatment remains the first-line approach in UK practice

[4] [6] Ascorbic Acid (Vitamin C) Injection is contraindicated in individuals with a known hypersensitivity to ascorbic acid or any component of the formulation

Keep a symptom diary and share it with your clinician to guide follow-up testing

Endothelial cells are considered responsible for the growth and function of blood vessels that supply nutrition to hair follicles and skin cells

& Williams, D