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It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as: Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g

People who are especially at risk of B12 deficiencies include: Those with HIV Those with eating disorders Those with diabetes Vegans and vegetarians (natural B12 is found in animal products) Those with Crohns Disease or pancreatic disease Anyone else with complications absorbing nutrients Having a B12 deficiency can slow down your life in a lot of ways, since your body isnt producing red blood cells and supporting the nervous system as it should