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A 2005 study concluded that oral vitamin B12 and intramuscular (IM) vitamin B12 have similar effects in terms of normalizing serum vitamin B12 levels.(7) The treatment and maintenance of a B12 deficiency largely depends on what has caused it

It's true about alcohol and certain types of medications and even not eating enough green vegetables

Such procedures decrease the number of cells in your stomach needed to secrete stomach acid and absorb vitamin B12

Vaisitti T, Aydin S, Rossi D, Cottino F, Bergui L, DArena G, et al