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For patients who have difficulty absorbing B12 through the digestive tractsuch as those with pernicious anemia, gastrointestinal disorders (like Crohns disease or celiac disease), a history of gastric bypass surgery, or those with severe B12 deficiencyour providers often recommend intramuscular B12 injections

Tablets: Pros: Non-invasive, easily incorporated into daily routines, and accessible without medical supervision

Studies show that a 15-minute walk after meals can reduce intestinal transit time by up to 30%