A 2019 case report describes a case of a young woman who was treated for severe pernicious anemia with multiple daily doses of 1 milligram (mg) of cyanocobalamin, a synthetic form of B12
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These include: Vegetarians and vegans, as vitamin B12 is mainly found in animal products Older adults, as they absorb vitamin B12 less well with age People with gastrointestinal disorders, like celiac disease or Crohns disease, which can block vitamin B12 absorption Those taking certain medications, such as proton pump inhibitors or metformin, which can also block vitamin B12 absorption Its best to talk to a healthcare professional about whether you need vitamin B12 supplements
Cyanocobalamin injections are often prescribed to gastric bypass patients who have had part of their small intestine bypassed, making it difficult for B 12 to be acquired via food or vitamins
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