Individuals with chronic alcoholism may experience poor dietary intake and decreased absorption of vitamin B12
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It does not include in-person labs drawn and reviewed by your provider
In many cases, healthcare providers begin with injections to correct levels quickly and then transition patients to oral supplements for maintenance
Subcutaneous Injection Injection into the fatty tissue layer beneath the skin
The lack of vitamin B12 may result from any of the following conditions: Addisonian (pernicious) anemia this condition causes autoantibody formation against parietal cells, which results in a lack of IF essential for absorption of vitamin B12 from the intestine Malabsorption impaired absorption of vitamin B12 Gastrointestinal pathology, dysfunction, or surgery these include atrophic gastritis, celiac disease, small bowel bacterial overgrowth, pancreatic insufficiency, Helicobacter pylori infection, gastric carcinoma, and total or partial gastrectomy Diphyllobothrium latum and related species (the fish tapeworm) infestation these parasites compete with vitamin B12 for intestinal absorption
