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Vitamin B12 given as hydroxocobalamin is usually intended for the muscle, and a needle that is too short can deposit it in the fat layer instead

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This is determined by the presence of a molecule called the intrinsic factor that is essential for the absorption of B12 into your system

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The main causes of a vitamin B12 deficiency are as follows: Malabsorption due to poor intestinal health (inflammation, bacteria, fungal infection, parasites, disturbed intestinal flora) due to a lack of transport molecules (intrinsic factor), genetic diseases (cobalamin disease) or medications that hinder uptake