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We only offer services to those patients 18 years of age or older

Injections are the most effective means of administration of vitamin B12 since they do not depend on the body's ability to absorb the substance through the gastrointestinal tract

We found very low-quality evidence that oral vitamin B oral treatment costs less 12 appears as safe as IM vitamin B 12

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Further, long-term use of acid-reducing drugs and the anti-diabetes drug metformin and repeated exposure to nitrous oxide have been implicated in vitamin B 12 deficiency (see Drug interactions)

It is often prescribed for individuals with pernicious anemia or other conditions that impair B absorption (for example, after gastric surgery or in certain digestive disorders)