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B12 shots for malabsorption or dietary restriction Vegans, vegetarians, older adults, and people with GI conditions (Crohn's disease, celiac disease, pernicious anemia) commonly have inadequate B12 absorption

a larger Intramuscular (in the muscle) 25 gauge 1 inch or 1.5 inch needle for maximum intramuscular benefit and a smaller Deep Subcutaneous (under skin) 28-30 gauge inch needle or 25g 5/8 inch

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They are a clinically established treatment for B12 deficiency

The surrounding muscle will absorb the medication right away