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Addisonian anemia Gastrointestinal pathology, dysfunction, or surgery Fish tapeworm infestation Folic acid deficiency Malignancy of pancreas or bowel Vitamin B12 Injection Side Effects There is no reported server side effects of vitamin B12 injections

Supporting a dominant role for diet composition in establishing the Firmicutes : Bacteroidetes ratio, previous work has shown that mice maintained on a high-fat diet had a similar cecal Firmicutes : Bacteroidetes ratio to those maintained on a high-carbohydrate diet 77

Vitamin B12 injection is currently licensed for use in maintenance therapy for pernicious anaemia every 2 3 months depending on the type of pernicious anaemia