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Conditions like celiac disease, inflammatory bowel disease, gastric surgeries, or chronic use of certain medications can reduce absorption from food and pills. If you have ongoing digestive issues, your provider may recommend a combination of gutsupporting strategiessuch as probiotics, a balanced diet, or targeted therapiesalong with B12, often using injections to bypass the digestive tract altogether

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Can individuals with renal impairment take vitamin B12 supplements

This is another reason to use fresh vials and respect storage timelines rather than trying to stretch supplies beyond recommended periods