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Step 4: Monitor and Adjust Over Time Once youve reviewed your progress and updated your goals, staying on top of things with regular monitoring is key

Certain populations are at higher risk of vitamin B12 deficiency, including older adults (due to reduced gastric acid production), individuals following strict vegan or vegetarian diets, those with pernicious anaemia (an autoimmune condition affecting intrinsic factor production), patients who have undergone gastric or ileal surgery (including bariatric procedures), and those taking medications that affect gastric acid secretion (such as proton pump inhibitors or H2 antagonists) or intestinal absorption (including metformin)

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Dry your hands with a towel before handling any injection needles or drugs

Many unhealthy people with B12 deficiency, especially pernicious anemia patients, have trouble clearing our the cyanide