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Other conditions that make Vitamin B12 absorption more difficult are: Weight loss surgery or another operation that removed part of your stomach Heavy drinking Taking acid-reducing medication for a long time Certain health issues may also lead to the development of vitamin B12 deficiency such as atrophic gastritis, pernicious anemia, Crohns disease, celiac disease, immune system disorders, Graves disease and lupus
For a quick energy boost and optimal B12 levels in the body, you can take a vitamin injection service at home

According to the National Institute of Health, the Food and Nutrition Board (FNB) didnt establish an upper limit for vitamin B12 because of its low risk of side effects
[DOI] [PubMed] [Google Scholar] 176.Diksic M

Are B12 injections painful