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However, certain populations are at higher risk of deficiency: Adults over 50 (reduced absorption capacity) Individuals following vegan or strict vegetarian diets Those with gastrointestinal conditions such as Crohns disease or celiac disease Individuals taking long-term acid-reducing medications (PPIs, H blockers) When oral supplementation is insufficient or absorption is compromised, vitamin B12 shots deliver the nutrient directly into the bloodstream, bypassing the digestive system entirely

These can also be present in people who do not have PA

1 This was followed later in the year by the approval of another blood-based diagnostic test, this one designed for use in broader clinical settings

Updated 02/20/2020

Reconstituted: Refrigerate at 28 C (35.646.4 F) and use within about 30 days