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Absorption Problems Some individuals consume enough B12 but cannot absorb it due to conditions such as: Pernicious anaemia: An autoimmune condition that affects stomach cells that produce intrinsic factors needed for B12 absorption Atrophic gastritis: Thinning of the stomach lining Lupus and B12 deficiency: Autoimmune diseases like lupus can reduce B12 absorption Surgical or Medical Interventions People who have undergone gastrointestinal surgeries (like weight loss surgery) or those taking certain medications (e.g., metformin or proton pump inhibitors) are at higher risk

800-69-MERIT / 800-696-3748 Teva SKU 030609066000 NDC 00591-2888-30 Manufacturer Number 00591288830 Login to see prices & order Application Vitamin B-12 Hydroxocobalamin Form 30mL, 1000mcg/mL Generic Hydroxocobalamin Multiple Dose Vial (MDV) Storage Requirements USP Controlled Room Temperature Type Intramuscular Latex Information indicates that natural rubber latex has not been used in the manufacture of this device or drug container closure system

Maintaining a balanced diet and healthy lifestyle may further support the benefits of the injection

10.1016/s0140-6736(14)61838-61839 Lancet 142 WuH.TaoJ.LiX.ZhangT.ZhaoL.WangY.et al (2017)