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Other groups at risk of inadequate vitamin B12 intake or absorption include: Strict vegetarians and vegans People who have had stomach stapling or weight loss surgery People with Celiac or Crohns disease People who frequently use prescription drugs to control heartburn People with autoimmune diseases People who smoke People who consume a lot of alcohol People who have used a lot of antibiotics Some people might not consume enough vitamin B12 rich foods, and others cant absorb enough B12 through their diets no matter how much they take in if without intrinsic factors

Report new vision changes, severe weakness, or swelling promptly

The thigh This location is preferable for self-administrated shots

Injections are particularly good in these cases, as they bypass the tract for higher absorption rates than with food or oral supplements

Linus Pauling Institute Oregon State University Updated in January 2014 by: Barbara Delage, Ph.D