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Others may need one every few months

Rozen recommends treatment options individualized to each patients symptoms and situation

If you have ongoing absorption problems or have had gastrointestinal surgery, you may need lifelong monthly injections

85 In general, patients with IBD should receive vaccinations in line with the national vaccination schedule, including hepatitis A, hepatitis B, tetanus, human papillomavirus, meningococcus, influenza, pneumococcus, COVID-19, measles, diphtheria and pertussis

While the vast majority of people absorb enough B12 through their regular, balanced diet, there are some patients for whom this is much more difficult