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Additional risk factors include having your gut operated on, pancreatic insufficiency, small intestinal bacterial overgrowth (SIBO), parasite infections, and certain autoimmune disorders
Authors: We found that oral vitamin B 12 replacement at 1000 g daily was adequate to replace vitamin B 12 levels in patients with pernicious anemia
The latter is better, but we recommend methylcobalamin, as it includes a methyl group and directly aids in lowering homocysteine levels and in fixing nerve damage, two issues often faced by pernicious anemia and B12 deficiency patients
However, make sure your B12 is from a 3rd party source
That said, an injection is still a medical procedure
