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For many, particularly those with underlying malabsorption issues like pernicious anaemia, injections are demonstrably more effective and stronger in their ability to deliver B12 directly into the bloodstream, bypassing the digestive systems limitations

[9] A related cause is reduced stomach acid production with age or from long-term use of proton-pump inhibitors, [10] H 2 blockers, or other antacids, [11] and interaction with metformin

Dispose of used syringes immediately in a puncture-proof sharps container [10]