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This includes: Patients with malabsorption issues due to gastrointestinal disorders Individuals with pernicious anemia or other conditions that impair B12 absorption Cases where a rapid increase in B12 levels is necessary In these cases, IV delivery gets B12 straight into the blood

We need to watch these patients closely to make sure they get enough B12

Adults over 50 are more likely to develop B12 deficiency without realizing it, especially if symptoms like fatigue, memory loss, or mood changes are attributed to aging itself

NAD+ precursors are studied for supplying metabolic substrates

Vitamin B12 injections should be given slowly