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Other factors include: Underlying cause of deficiency : Pernicious anaemia, malabsorption disorders, or dietary insufficiency may affect treatment response Medication use : Metformin and proton pump inhibitors can reduce gastrointestinal B12 absorption (though this does not affect the efficacy of intramuscular injections) Individual variation : Differences in how efficiently your body utilises the injected vitamin Adherence to treatment schedule : Missing injections or delaying maintenance doses can slow recovery Discussing these factors with your healthcare provider helps set realistic expectations for your treatment journey

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A dedicated medication shelf or door pocket works well, as these areas maintain more stable temperatures than the freezer zone

At Posh Aesthetics and Wellness, every client begins with a consultation

2006;142C(3):149-157

It goes straight into your muscle, your body takes up nearly all of it, and levels rise faster and stay higher than oral dosing