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[DOI] [PubMed] [Google Scholar] 58.Rodgers JT, Lerin C, Haas W, Gygi SP, Spiegelman BM, Puigserver P
Vitamin B12 Deficiency Causes Vitamin B12 deficiency can be caused by age, diet, and medical history

We never simply administer a treatment, as doing so could put a patient at risk of complications

More prescribers are willing to prescribe it

However, someone with decreased intrinsic factor may have symptoms of milder B12 deficiency long before pernicious anemia.[ref] The time to act is long before your body develops full-blown anemia

When deciding between intramuscular and intravenous, we look at the patients health, how bad their B12 deficiency is, and how they react to treatment
