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Other than patients who have had their stomachs bypassed, there is also an autoimmune condition known as pernicious anemia that leads to a deficiency of intrinsic factor, lack of ability to absorb vitamin B12 and therefore poor availability of cobalamin (vitamin B12)

IV therapy is one of the most efficient ways of increasing your vitamin B12 levels

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4) Pharmacokinetics & Safety (Preclinical) In animals, intravenous and intramuscular dosing provide systemic exposure with a relatively short elimination half-life

It didn't tear away from the bone