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Individuals most likely to benefit include: Those with pernicious anemia People with gastrointestinal disorders (e.g., Crohns disease, celiac disease, chronic gastritis) Patients following bariatric (weight loss) surgery Older adults with absorption difficulties Strict vegetarians or vegans at risk for deficiency People taking medications that can decrease vitamin B12 levels Laboratory testing usually confirms B12 deficiency before starting injections

Di Meo et al., 2016)

Best taken on an empty stomach

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Clinical studies report moderate evidence in treating tendon injuries (tennis elbow, patellar tendinopathy), with measurable improvement over 6 to 12 weeks