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Find out why malabsorption is happening Choose the best treatment method (e.g., injections, sublingual tablets) Keep an eye on how the patient is doing and adjust treatment if needed Medication-Induced B12 Deficiency Management Medication can also cause B12 deficiency

When you swallow a B12 pill, several steps have to work for it to be absorbed: stomach acid and the enzyme pepsin must release B12 from food or the supplement, the stomach must secrete a protein called intrinsic factor that binds to B12, and the B12-intrinsic factor complex must reach the ileum (the end of the small intestine) where it is finally absorbed

IM Vitamin absorption through the bloodstream can be more efficiently utilized by the body, whether by injection into a muscle or infusion directly into the bloodstream

The practice has been very accomodating

There are a few different points of view on why this treatment is important