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The first day I took it I felt energized- Ive started walking again

However, many people think that antibiotics are only meant to kill bacteria

We begin with a thorough evaluation, including appropriate laboratory testing, to confirm whether a deficiency or absorption issue is present

Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)

In pernicious anaemia, the immune system mistakenly attacks the gastric parietal cells that produce intrinsic factor, leading to B12 deficiency over time