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B12 is one important piece, but persistent exhaustion usually has more than one contributing factor

Here are some of the groups who may be more at risk for a B12 deficiency (NIH, 2020): Those with atrophic gastritis: Between 10 and 30% of older adults are afflicted with atrophic gastritis, which results in decreased absorption of foods containing B12

Once your levels have stabilised, youll switch to maintenance shots

Recovery times and cosmetic outcomes have improved significantly
