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Other factors include: Underlying cause of deficiency : Pernicious anaemia, malabsorption disorders, or dietary insufficiency may affect treatment response Medication use : Metformin and proton pump inhibitors can reduce gastrointestinal B12 absorption (though this does not affect the efficacy of intramuscular injections) Individual variation : Differences in how efficiently your body utilises the injected vitamin Adherence to treatment schedule : Missing injections or delaying maintenance doses can slow recovery Discussing these factors with your healthcare provider helps set realistic expectations for your treatment journey
Cyanocobalamin is more commonly found in oral supplements and fortified foods, and while it is effective for many people, some practitioners prefer hydroxocobalamin for injections due to its natural form and longer retention
Current pricing files are the RVU26B and PFREV26B, updated March 10, 2026
You'll be more successful when you eat whole foods like fruits, vegetables, and lean protein
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However, we honestly dont think its necessary, unless youre curious
