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Some reasons your body may not be able to get enough B12 from food include: Anemia Gastritis Crohns disease Celiac disease Alcohol use disorder Sjgrens syndrome Weight loss surgery, or surgery that removes part or all of your stomach A vegan or strict vegetarian diet (as B12 is only found in animal products) Medications, such as metformin and drugs used to treat gastroesophageal reflux disease (GERD), indigestion, and stomach ulcers Pregnancy Your doctor could also order a B12 test based on your symptoms

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The investigation was done at two particular intervals, at 1 and 24 h

8 One study compared the effectiveness of sublingual B12 with B12 injections for raising levels in patients with vitamin B12 deficiency

This includes maintaining a stable weight through diet and exercise, avoiding smoking, and taking care of your incisions during the early part of your recovery journey