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Other causes are conditions affecting the stomach or small intestine, such as Crohns disease, operations such as gastrostomies (which involve removal of part of the stomach), and certain medications

By the way, even if you dont have pernicious anemia, but a severe B12 deficiency due to other causes, B12 shots are still the way to go

Accurate guidance makes planning easier
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Benefits of B12 Shots: Correcting Deficiency: B12 shots are an effective way to quickly correct vitamin B12 deficiencies, which can cause fatigue, weakness, anemia, and neurological issues
