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Doctors have traditionally given injections of B 12 to patients with pernicious anemia

Option 3: 5mg + 3mL Bacteriostatic Water This results in a concentration of 1.67mg/mL

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Absorption problems Even with adequate intake, absorption can be reduced by: Certain gastrointestinal conditions affecting the stomach or small intestine Some medications Age-related reduction in stomach acid (which can affect absorption) Autoimmune gastritis (often historically referred to as pernicious anaemia) This is a well-recognised cause of B12 deficiency and may require ongoing management

Healthcare professionals should maintain a low threshold for testing in patients presenting with compatible symptoms, regardless of treatment duration