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Frequently Asked Questions People with low B12 levels due to poor absorption, certain medical conditions, or strict vegetarian/vegan diets may need B12 injections to restore healthy levels

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In that case, a doctor will likely recommend B12 shots to get their levels up to where they should be

Deficiencies can occur due to low feed intakes or more commonly as a result of vitamin breakdown by oxidation during the processing and storage of grains and hays