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Other Risk Factors: Additional factors that can contribute to B12 deficiency include alcohol abuse, certain medications (e.g., metformin, proton pump inhibitors), and underlying health conditions affecting absorption

Tablets just as effective Over-the-counter B12 tablets are a fraction of the cost of shots, and have been shown in a British-Canadian study to work just as well for most people, although some people with digestive conditions may have difficulty absorbing the vitamin in tablet form

B12 injections can reverse debilitating symptoms, alleviating the fatigue and weakness associated with anemia

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However, no controlled human trial has compared oral versus injectable AOD-9604 at equivalent systemic doses