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Certain factors may theoretically affect B12 absorption

So how do you know if you need vitamin B12 shots

Lifestyle Preferences: Some individuals may prefer the ease of taking oral supplements, while others might appreciate the predictable energy boost provided by injections

[60] Differential diagnosis [edit] Forms of vitamin B 12 deficiency other than PA must be considered in the differential diagnosis of megaloblastic anemia

Quitting at four weeks just because you haven't seen a massive change is a common mistake