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The Mayo Clinic shares that those most at risk of low levels include (5): people who dont consume enough vitamin B12 in their diet people diagnosed with pernicious anemia people whove had gastric surgeries people with intestinal issues, such as celiac or Crohns disease People following a vegetarian diet are especially at risk of deficiency

doi:10.3389/fendo.2021.619176 Vitamin B12

Further general information on the clinical pharmacology of cyanocobalamin vitamin B12 for intramuscular injection including contraindications and precautions Quality: B12 Direct works only with country of origin government licensed suppliers and have independently tested our vitamin B12 for quality and safety at Mrieux NutriSciences (Vancouver Canada)

These include combinations with other vitamins and nutrients, boosting their effectiveness

(2021) Cyanocobalamin

And while there are plenty of remedies to try to soothe the symptoms, there are very few that work as effectively as vitamin B12