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This deficiency arises from impaired absorption of food-bound vitamin B12, reduced dietary intake, and the use of certain medications
Reviewing and stopping B12 injections You should review or stop B12 injections when a blood test shows your levels have normalised, when a dietary cause can be managed with tablets, or when your GP advises a change
high consumption of processed and refined food, with lack of dairy and meat-based food in diet, excessive consumption of alcohol, impaired absorption from the gastrointestinal tract or impaired storage and use by liver (1)
For maintenance, adults get Vitamin B12 injections monthly