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Crucially, parietal cells in the stomach lining produce a protein called intrinsic factor , which binds to B12 and enables its absorption in the terminal ileum

Obtaining supplies: B12 ampoules and injection equipment can be collected from community pharmacies using your NHS prescription

Clinical decisions rest entirely with the evaluating clinician

10.1016/j.ejmech.2017.11.057 32 KaravolosS.ReynoldsM.PanagiotopoulouN.McElenyK.ScallyM.QuintonR

In the case of a true allergic reaction to the intramuscular vitamin B12 supplement, alternative routes of administration (e.g., intrinsic factordependent enteral route) should be considered