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Description
Moreover, auto-antibodies in gastric juices bind and block the vitamin B 12 binding site of intrinsic factor and prevents the uptake of vitamin B 12

While every patient is different, people who respond well to B12 injections often report feeling more refreshed, more focused, and more capable of following through on healthy habits
Diabetologia 48, 17761783

Department of Health & Human Services

Once the vitamin B12 reserves reach their normal levels, the injection of vitamin B12 will be needed as maintenance shot once every one to three months to prevent any of the symptoms of deficiency from returning

But if you take supplements, you might ingest more than your body needs