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Selected Research References Gwyer D, Wragg NM, Wilson SL

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

Vitamin B12 deficiency is a common problem that everyone encounters

Signs You Might Need B12 Shots You might benefit from B12 injections if you experience any of the following: Persistent fatigue or weakness Tingling or numbness in hands and feet Memory problems or difficulty concentrating Mood disturbances or unexplained irritability Heart palpitations or shortness of breath Your specific situation determines the best delivery method