Therefore, if you have recently changed your diet, become vegan, and stopped consuming B12-rich foods, it may take several years for a deficiency to become apparent, and dietary supplementation might be an adequate solution over any need for B12 injections
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"Injections are the preferred treatment for patients unable to absorb vitamin B12, such as patients with autoimmune-related anemia or pernicious anemia, or history of gastrectomy, which means partial removal of the stomach, or a history of bariatric surgery," Levine told InStyle