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Cancers that start in the digestive system often affect how the stomach and intestines work, possibly contributing to B12 deficiency

Stomach acid drops with age, intrinsic factor production drops with it, and dietary B12 absorption follows

For ongoing maintenance at 12mg per week, you need 48mg per month, which is roughly two and a half 20mg vials or approximately four 30mg vials every three months

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Injections bypass the digestive system, making them an effective option for these individuals