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The most common cause of Vitamin B12 deficiency is a lack of intrinsic factor, a protein the stomach produces that is essential for B12 absorption

After your injection, avoid: Strenuous exercise for a few hours Rubbing or massaging the injection site Alcohol, which can interfere with absorption Most patients resume normal activities immediately, but its always best to rest a bit after your visit

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That is well below what semaglutide and tirzepatide deliver, and the daily injection schedule is a real drawback for many patients

This is more likely when B12 is given in injectable form rather than taken orally