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To help you make a better decision, consider the following factors: Your Health Condition : If you have a medical condition that affects B-12 absorption (e.g., pernicious anemia), injections are usually more effective

Methylmalonic acid is said to be more reliable as a test of B12 deficiency because it will build up in your body

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Some of the biggest risk factors for B12 deficiency are vegetarian/vegan diets, pregnancy/breastfeeding, and aging

Gastrointestinal symptoms: alteration in bowel motility, such as mild diarrhea or constipation, and loss of bladder or bowel control