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Step 4: Select and Clean the Injection Site Choose the next site in your rotation

Conditions like pernicious anaemia (an autoimmune disorder where your body cant absorb B12 from food), certain stomach conditions, medications that reduce stomach acid, or even gastrointestinal surgeries (like weight loss surgery) can prevent your body from properly taking in B12, even if youre getting enough in your diet

A healthcare provider needs to determine the appropriate type and dose for each individual, monitor for adverse reactions, and adjust treatment as needed

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Consistency matters more than specific timing