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B12 injections are also used to treat people with malabsorption (gastrointestinal conditions that prevent proper absorption of B12 from the gut), for example, people with atrophic gastritis (stomach inflammation) and intrinsic factor deficiency (pernicious anemia) or those who have undergone surgical procedures such as gastrectomy or small bowel resection (stomach or intestine removed), autoimmune diseases, etc

If untreated, low vitamin B12 levels can result in anemia, fatigue, weakness, and nerve complications

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Acneiform eruptions: Skin reactions including acneiform eruptions have been reported in some patients receiving injectable B12