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These include: Pernicious anaemia : An autoimmune condition where the body cannot produce intrinsic factor, preventing B12 absorption Crohn's disease or coeliac disease : Conditions affecting the ileum, where B12 is absorbed Previous gastric surgery : Including gastric bypass or removal of parts of the stomach or small intestine Atrophic gastritis : Chronic inflammation of the stomach lining Medication users may experience reduced B12 absorption

He et al., 2019

The power shot did not work for me however the customer service was so good, the product still gets 5 full stars from me

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Who should get a shot and who should avoid it