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Pregnancy and Lactation B12 Requirements Pregnant and nursing women need more B12 because of their babys needs

Acquired causes of B12 deficiency can be 1) dietary, especially in vegetarian and vegan populations, 2) autoimmune, as seen in pernicious anaemia, where there is destruction of IF-producing parietal cells mediated by autoantibodies, 3) iatrogenic secondary to disruption of the acid-base status of the stomach (e.g., with proton pump inhibitor use or metformin), and 4) caused by malfunction of the terminal ileum (e.g., inflammatory bowel diseases like Crohns disease, gastric bypass or surgical resection)

Increase physical activity: Incorporate strength training to build muscle mass and cardio for fat burning

How to Choose Between Shots and Supplements Deciding whether to opt for B12 shots or oral supplements ultimately depends on your unique situation

For years, patients have relied on conventional medications and invasive procedures that often come with heavy side effects and unpredictable results

Youll see it referenced both ways in the literature, and some vendors label it as 177-191 for this reason