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Individuals most likely to benefit include: Those with pernicious anemia People with gastrointestinal disorders (e.g., Crohns disease, celiac disease, chronic gastritis) Patients following bariatric (weight loss) surgery Older adults with absorption difficulties Strict vegetarians or vegans at risk for deficiency People taking medications that can decrease vitamin B12 levels Laboratory testing usually confirms B12 deficiency before starting injections

Both require supervision by a licensed provider with real medical weight loss training

Many patients with a vitamin b12 deficiency report the feeling of tiredness or fatigue even after a good nights sleep led by failure to adequately create the energy your body requires

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