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These conditions digestive conditions, such as Crohns disease and ulcerative colitis autoimmune conditions, such as celiac disease and type 1 diabetes genetic conditions, such as inherited intrinsic factor deficiency and inherited transcobalamin deficiency chronic pancreatic disease pernicious anemia vitiligo Other factors that may lead to a vitamin B12 deficiency can include drinking excessive amounts of alcohol or using certain drugs, such as some heartburn medicines and metformin
Vitamin B12 is an essential component for proper digestion and absorption of foods and for normal metabolism of carbohydrates and fat
For others, with milder or temporary deficiencies, the initial shots might lead to longer periods of feeling well, potentially even allowing for a switch to oral supplements under strict medical guidance
The branches supply sensation to the clitoris/penis, labia/scrotum, perineum, anus, the distal of the urethra and rectum, and the vulva and vestibule