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Patients with a history of autoimmune problems also are more likely to have autoantibodies against intrinsic factor and have reduced B12 uptake

The B12-carrier complex travels all the way down to the last section of the small intestine, the terminal ileum, where specific receptors absorb it into the bloodstream

A 60 mg vial is economical at 1015 mg weekly but too large for a 12 mg microdose that would sit for months

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Injections are particularly recommended in specific clinical cases of vitamin B12 deficiency because they allow for a considerably high intake