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doi:10.1177/2374373521998842

Gastrointestinal conditions Some gastrointestinal conditions may affect how vitamin B12 is digested or absorbed, such as: history of gastrointestinal surgery celiac disease Crohns disease pernicious anemia infections, such as from Helicobacter pylori bacteria or parasites pancreatic insufficiency or cancer bowel cancer folic acid deficiency small intestinal bacterial overgrowth Vitamin B12 injections may be more helpful for people with gastrointestinal conditions than oral products

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However, practical considerations may guide your choice

Cyanocobalamin should not be given before a diagnosis has been fully established because of the masking symptoms of sub-acute degeneration of the spinal cord
