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B12 from food and supplements has to pass through a fairly involved process in the stomach and gut before your body can use it, and that process becomes less efficient with age, with certain medications, and with diets that include little or no animal protein

Avoid heavy exercise for at least 24 hours

Authoritative Sources For patient medication information, review MedlinePlus cyanocobalamin injection information

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For some individuals, particularly those with medical conditions or dietary restrictions, receiving Vitamin B12 through injections is the most effective way to maintain adequate levels