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Up to 20% of people over 60 may become deficient according to UCLA Health (2022), and the National Institutes of Health estimates that 10 to 30% of older adults cannot absorb naturally occurring vitamin B12 from food

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If you have malabsorption syndrome (such as short bowel syndrome, certain bariatric surgery patients, chronic pancreatitis, or celiac disease that severely impairs nutrient uptake), you might need these injections indefinitely to prevent recurrent deficiencies

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