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In fact, some observational studies suggest slightly lower fracture risk at high B12 blood levels

As a Medical consultant , a leading nutrition expert notes , Vitamin B12 deficiency can have serious health consequences, especially for older adults and those following a plant-based diet. When Oral Supplements Arent Enough Oral supplements work for many, but not all

We also explain how long the effects of the shots last, how often they may be needed, and how patients can track progress

Deficiency after gastric banding is therefore primarily related to: Reduced dietary intake and food tolerance , limiting consumption of B12-rich foods Use of acid-suppressing medicines (PPIs or H2RAs) , which can impair the release of B12 from food proteins and reduce absorption of food-bound B12 Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release

For others, it may take 23 days, especially if they were significantly deficient

How do B12 Injections work