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B12 injections are also used to treat people with malabsorption (gastrointestinal conditions that prevent proper absorption of B12 from the gut), for example, people with atrophic gastritis (stomach inflammation) and intrinsic factor deficiency (pernicious anemia) or those who have undergone surgical procedures such as gastrectomy or small bowel resection (stomach or intestine removed), autoimmune diseases, etc

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The inclusion of benzyl alcohol allows the solution to remain usable for a limited period after opening, helping support safe handling practices in controlled environments

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Adequate protein intake (at least 1 gram per kilogram body weight per day) and complete-micronutrient coverage during weight loss reduce risk