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Medical guidance is especially important for adults with a history of stomach or intestinal surgery, inflammatory bowel conditions, long-term digestive symptoms, or an autoimmune condition that affects B12 absorption

This makes it easier to ensure your B12 gets right into the muscle and not into the fat or lost somewhere in between

Safety considerations to keep in mind Vitamin B12 injections are water-soluble, meaning excess amounts are typically excreted by the body

People following a vegan or plant-based diet are more likely to present with a B12 deficiency, but those over 60 are also at a higher risk of not consuming enough B12

References Markle HV, Greenway DC