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The fish tapeworm (Diphyllobothrium latum) absorbs huge quantities of vitamin B 12 and infested patients often have associated gastric atrophy

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Also the UK Givernments website, or Yellow Card vaccine monitor

Therefore, even though B12 may come in more concentrated dosages with oral administration, the IM shots still provide the best way to correct B12 deficiency

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Heres how: Pancreatic Cancer : This type of cancer affects some enzymes used in the digestion of food, particularly B12, causing deficiency